Förster H
Fortschr Med. 1977 Jul 14;95(26):1690-4.
A differentiation between lactate emia (lactic acid emia) and lactate acidosis (lactic acidosis) is made. The normal value for blood lactate concentration is 1-2 mmol/1. The term lactate emia is used for lactate values between 2-6 mmol/1. The limiting value for the diagnosis of lactate acidosis should be more than 7-8 mmol/1 for the blood lactate concentration. Furthermore the different buffer mechanisms are evaluated in respect to their influence on the pH of the blood and to lactate metabolism. Especially the mechanism of respiratory compensation for metabolic acidosis is discussed. It is stated that for the diagnosis of lactate acidosis the blood-pH and the bicarbonate concentration should be measured.
对乳酸血症（乳酸血症）和乳酸性酸中毒（乳酸性酸中毒）进行了区分。血乳酸浓度的正常值为1-2 mmol/L。乳酸血症一词用于指乳酸值在2-6 mmol/L之间的情况。乳酸性酸中毒诊断的临界值应为血乳酸浓度超过7-8 mmol/L。此外，还评估了不同缓冲机制对血液pH值和乳酸代谢的影响。特别讨论了代谢性酸中毒的呼吸代偿机制。指出对于乳酸性酸中毒的诊断，应测量血液pH值和碳酸氢盐浓度。
