代谢性碱中毒是指体内酸丢失过多或者从体外进入碱过多的临床情况,主要生化表现为血HCO3-过高(gt;27mmol/L),PaCO2增高。pH值多gt;7.45,但按代偿情况而异,可以明显过高;也可以仅轻度升高甚至正常。本病临床上常伴有血钾过低。
应用过量时,可致代谢性碱中毒。
Application of excessive hours can cause metabolic alkalosis.
显然,这种代谢性碱中毒对盐水输入没有反应。
Clearly, this kind of metabolic alkalosis would not respond to saline infusion.
大剂量的速尿会引起严重电解质紊乱和代谢性碱中毒,应该慎重使用。
High doses of frusemide are associated with severe electrolyte disturbance and metabolic alkalosis, and should be used cautiously.
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