Choi M Y, Lee J D, Lee S H, Park I S, Woo J Y, Choi E J, Chang Y S, Bang B K
Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.
J Korean Med Sci. 1993 Jun;8(3):207-9. doi: 10.3346/jkms.1993.8.3.207.
We report a patient with systemic lupus erythematosus (SLE), who had developed metabolic alkalosis during plasmapheresis. The metabolic alkalosis could be promptly corrected by reducing the amount of citrate load. The development of metabolic alkalosis can be explained by the citrate load during plasmapheresis. Careful monitoring of acid base status is mandatory in patients with limited renal function and the reduction of citrate load may be advisable in plasmapheresis.
我们报告了一名系统性红斑狼疮（SLE）患者，该患者在血浆置换过程中出现了代谢性碱中毒。通过减少柠檬酸盐负荷量，代谢性碱中毒可迅速得到纠正。代谢性碱中毒的发生可通过血浆置换过程中的柠檬酸盐负荷来解释。对于肾功能有限的患者，必须仔细监测酸碱状态，在血浆置换中减少柠檬酸盐负荷量可能是可取的。
