[肝病中的酸碱平衡紊乱]

[Disorders of acid-base balance in liver disease].

作者信息

Toda G

机构信息

First Department of Internal Medicine, Jikei University School of Medicine.

出版信息

Nihon Rinsho. 1992 Sep;50(9):2185-90.

PMID:1434010

Abstract

Disorders of acid-base balance are frequently encountered in fulminant hepatic failure, liver cirrhosis and autoimmune liver diseases. The disorders per se except lactic acidosis rarely poses serious clinical problems. However metabolic alkalosis induced by administration of diuretics and hypokalemia in renal tubular acidosis are risk factors for hepatic encephalopathy.

摘要

酸碱平衡紊乱在暴发性肝衰竭、肝硬化和自身免疫性肝病中经常出现。除乳酸酸中毒外，这些紊乱本身很少引发严重的临床问题。然而，利尿剂使用引起的代谢性碱中毒以及肾小管酸中毒中的低钾血症是肝性脑病的危险因素。