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[一匹弗里斯兰母马的(2型)肾小管性酸中毒]

[Renal tubular acidosis (type 2) in a Friesian mare].

作者信息

van der Kolk J H

机构信息

Vakgroep Inwendige Ziekten en Voeding der Grote Huisdieren, Faculteit Diergeneeskunde, Universiteit Utrecht.

出版信息

Tijdschr Diergeneeskd. 1994 Nov 15;119(22):675-6.

PMID:7974459
Abstract

A 2-year-old Friesian mare was examined because she had been sluggish for a few weeks. Blood biochemistry showed that concentrations of creatinine (136 mumol.L-1) and urea nitrogen (6.1 mmol.L-1) in plasma were within their normal limits. Severe metabolic acidosis was apparent; the venous pH was 7.154 and the bicarbonate concentration was 13 mmol.L-1. The base excess amounted to -15.3 mmol.L-1 and the venous pCO2 measured 5.1 kPa. Plasma sodium was normal (135 mmol.L-1) and plasma chloride (113 mmol.L-1) was slightly elevated, but there was a hypokalaemia (2.9 mmol.L-1). The urine had a specific gravity of 1.040 and a pH of 5. These findings indicated type 2 renal tubular acidosis. The blood values returned to normal 3 days after treatment with sodium bicarbonate as a 4.2 per cent solution (3.2 mol in total) and additional bicarbonate (125 g) and potassium chloride (100 g) administered orally.

摘要

一匹2岁的弗里斯兰母马接受了检查,因为它几周来一直行动迟缓。血液生化检查显示,血浆中肌酐浓度(136μmol.L-1)和尿素氮浓度(6.1mmol.L-1)在正常范围内。明显存在严重代谢性酸中毒;静脉血pH值为7.154,碳酸氢盐浓度为13mmol.L-1。碱剩余为-15.3mmol.L-1,静脉血二氧化碳分压为5.1kPa。血浆钠正常(135mmol.L-1),血浆氯(113mmol.L-1)略有升高,但存在低钾血症(2.9mmol.L-1)。尿液比重为1.040,pH值为5。这些发现表明为2型肾小管酸中毒。用4.2%的碳酸氢钠溶液(总量3.2mol)以及额外的碳酸氢盐(125g)和氯化钾(100g)口服治疗3天后,血液指标恢复正常。

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