高氯性代谢性酸中毒速查

A Quick Reference on Hyperchloremic Metabolic Acidosis.

作者信息

Funes Silvia, de Morais Helio Autran

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, 700 Southwest 30th Street, Corvallis, OR 97331, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2017 Mar;47(2):201-203. doi: 10.1016/j.cvsm.2016.11.001. Epub 2016 Dec 23.

DOI:10.1016/j.cvsm.2016.11.001

PMID:28017409

Abstract

Metabolic acidosis results from an increase in the concentration of a strong anion. Metabolic acidosis is divided into hyperchloremic metabolic acidosis and high anion gap acidosis based on the changes in the anion gap. Hyperchloremic metabolic acidosis is the result of chloride retention, excessive loss of sodium relative to chloride, or excessive gain of chloride relative to sodium. Clinical signs are related to the underlying disease that accompanies the metabolic acidosis. Treatment of hyperchloremic acidosis is based on addressing the underlying disease process.

摘要

代谢性酸中毒是由强阴离子浓度增加引起的。根据阴离子间隙的变化，代谢性酸中毒分为高氯性代谢性酸中毒和高阴离子间隙酸中毒。高氯性代谢性酸中毒是氯潴留、相对于氯而言钠过度丢失或相对于钠而言氯过度增加的结果。临床症状与伴随代谢性酸中毒的基础疾病有关。高氯性酸中毒的治疗基于处理基础疾病过程。