乳酸酸中毒的血液透析治疗
Hemodialysis for Lactic Acidosis.
作者信息
Karthiraj N, Ramakrishnan Nagarajan, Mani Ashwin K
机构信息
Department of Critical Care Medicine, Apollo First Med Hospital, Chennai, Tamil Nadu, India.
Department of Critical Care Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
出版信息
Indian J Crit Care Med. 2017 Aug;21(8):537-538. doi: 10.4103/ijccm.IJCCM_167_17.
Abstract
Lactic acidosis (Type A) is common in critically ill patients and usually treated by correcting the underlying etiology. We present the case of a young female who presented with life-threatening lactic acidosis secondary to hematological malignancy. Timely initiation of hemodialysis was lifesaving. The case highlights the importance of considering Type B lactic acidosis (in this case secondary to a hematological malignancy) and also initiating renal replacement therapy when routine measures are ineffective.
摘要
A型乳酸性酸中毒在重症患者中很常见，通常通过纠正潜在病因来治疗。我们报告一例年轻女性患者，她因血液系统恶性肿瘤继发危及生命的乳酸性酸中毒。及时开始血液透析挽救了她的生命。该病例强调了考虑B型乳酸性酸中毒（在本病例中继发于血液系统恶性肿瘤）以及在常规措施无效时启动肾脏替代治疗的重要性。
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