血液透析期间的急性代谢性碱中毒

Acute metabolic alkalosis during haemodialysis.

作者信息

Sethi D, Curtis J R, Topham D L, Gower P E

机构信息

Department of Medicine, Charing Cross and Westminster Medical School, London, UK.

出版信息

Nephron. 1989;51(1):119-20. doi: 10.1159/000185265.

DOI:10.1159/000185265

PMID:2915742

Abstract

A 32-year-old woman developed acute metabolic alkalosis during haemodialysis due to dialysate with a very high bicarbonate concentration. This was subsequently discovered to have been caused by the reversed connection of bicarbonate and acid concentrate containers to the entry ports of the Monitral 'S' machine and to failure of the pH meter. Recommendations are made to prevent this potentially fatal accident.

摘要

一名32岁女性在血液透析期间因透析液碳酸氢盐浓度极高而发生急性代谢性碱中毒。随后发现这是由于碳酸氢盐和酸浓缩液容器与Monitral 'S' 机器的入口端口反向连接以及pH计故障所致。文中提出了预防这一潜在致命事故的建议。