McCarron D A, Elliott W C, Rose J S, Bennett W M
Am J Med. 1979 Nov;67(5):905-8. doi: 10.1016/0002-9343(79)90753-8.
A patient with severe metabolic acidosis in association with rhabdomyolysis and nonoliguric acute renal failure is presented. Evaluation of his acidosis indicated a large excess of unmeasured anions as well as evidence of a renal acidifying defect. We conclude that the metabolic acidosis seen with myoglobinuric acute renal failure may represent a mixed acid-base disturbance.
本文报告了一名患有严重代谢性酸中毒并伴有横纹肌溶解和非少尿性急性肾衰竭的患者。对其酸中毒的评估显示存在大量未测定阴离子以及肾酸化功能缺陷的证据。我们得出结论,肌红蛋白尿性急性肾衰竭时所见的代谢性酸中毒可能代表一种混合性酸碱紊乱。