Berenson M M, Lee R G
J Clin Gastroenterol. 1986 Apr;8(2):210-2. doi: 10.1097/00004836-198604000-00025.
A patient with cirrhosis developed hemoperitoneum, lactic acidosis, and hyperphosphatemia in the absence of shock. At post-mortem examination occult multicentric hepatocellular carcinoma eroding the liver capsule was present. The case emphasizes the central role of the liver in lactic acidosis, indicates that hemoperitoneum may precipitate this complication, and documents the association of lactic acidosis and hyperphosphatemia.
一名肝硬化患者在无休克的情况下出现了腹腔积血、乳酸性酸中毒和高磷血症。尸检发现存在隐匿性多中心肝细胞癌，癌组织侵蚀肝包膜。该病例强调了肝脏在乳酸性酸中毒中的核心作用，表明腹腔积血可能促使这一并发症的发生，并记录了乳酸性酸中毒与高磷血症之间的关联。
