University of Nebraska Medical Center, Omaha, NE 68198-3040, USA.
Am J Kidney Dis. 2013 Sep;62(3):633-7. doi: 10.1053/j.ajkd.2013.03.036. Epub 2013 Jun 4.
We present a 58-year-old man with recurrent multiple myeloma treated with 2 autologous stem cell transplantations. He was admitted for dyspnea and found to have severe type B lactic acidosis with serum lactate level of 193.6 mg/dL. This case reviews malignancy-associated type B lactic acidosis and discusses its etiology, pathogenesis, and management.
我们报告了一例 58 岁男性,患有复发性多发性骨髓瘤,接受了 2 次自体干细胞移植。他因呼吸困难入院,发现严重的 B 型乳酸酸中毒,血清乳酸水平为 193.6mg/dL。本病例回顾了与恶性肿瘤相关的 B 型乳酸酸中毒,并讨论了其病因、发病机制和治疗。