Young Heather, Singh Salil, Greystoke Brigit Fiona, Willert Robert Paul
Manchester Royal Infirmary, Gastroenterology, Oxford Road, Manchester M13 9WL, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.02.2009.1601. Epub 2009 Jul 12.
We report the finding of a low venous bicarbonate and lactic acidosis in a patient with mild pancytopenia which raised the suspicion of haematological malignancy and expedited the diagnosis of acute lymphoblastic leukaemia. This report highlights the value of testing for lactic acidosis when haematological malignancies are considered and reviews the metabolism of lactic acidosis.
我们报告了一名轻度全血细胞减少症患者出现低静脉血碳酸氢盐和乳酸酸中毒的情况，这引发了对血液系统恶性肿瘤的怀疑，并加速了急性淋巴细胞白血病的诊断。本报告强调了在考虑血液系统恶性肿瘤时检测乳酸酸中毒的价值，并对乳酸酸中毒的代谢进行了综述。
