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自1932年 Hartmann 氏利用乳酸钠治疗代谢性酸中毒获得良效以来,乳酸钠在液体疗法中占有较重要地位。消化不良及脱水患者除酸中毒外,常合并钠、钾、氯的损失,因此几年来各家多采用不同比例之乳酸钠、氯化钠、葡萄糖与钾盐等混合液体作治疗。我院采用之范氏输液常规(4份等张氯化钾,5份等张乳酸钠,7份生理盐水)合乳酸盐离子占阴离子的5/16,因此对一部分中毒性消化不良输液患儿进行乳酸测定,以期观察输液过程中乳酸动态及酸中毒纠正效果。
Since 1932, Hartmann’s use of sodium lactate to treat metabolic acidosis has been effective, sodium lactate in liquid therapy occupy a more important position. Indigestion and dehydration in patients with acidosis, often with the loss of sodium, potassium, chlorine, so in the past few years to use different ratios of sodium lactate, sodium chloride, glucose and potassium salt mixture for treatment. Our hospital used Fan’s infusion routine (4 isotonic potassium chloride, 5 isotonic sodium lactate, 7 normal saline) and lactate ion accounted for 5/16 anions, so part of the toxic indigestion infants with infants Lactate determination, in order to observe the infusion of lactic acid dynamics and acidosis correction.