van der Beek A, de Meijer P H, Meinders A E
Department of General Internal Medicine, Leiden University Medical Center, Albinusdreef 2, 2300 RC, Leiden, The Netherlands.
Neth J Med. 2001 Mar;58(3):128-36. doi: 10.1016/s0300-2977(01)00088-2.
Lactic acidosis is common in severely ill patients. We describe four patients with a lactic acidosis combined with other acid-base disturbances. In daily practice it is important to consider these combined disturbances since there is no specific treatment in lactic acidosis. Treating the underlying causes of the acid-base disturbances is the only warranted intervention. However, lactic acidosis is still associated with high mortality.
乳酸性酸中毒在重症患者中很常见。我们描述了4例合并其他酸碱紊乱的乳酸性酸中毒患者。在日常实践中,考虑这些合并的紊乱很重要,因为乳酸性酸中毒没有特效治疗方法。治疗酸碱紊乱的根本原因是唯一合理的干预措施。然而,乳酸性酸中毒的死亡率仍然很高。