肾小管性酸中毒(以下简称RTA),系由肾小管泌H~+和/或重吸收HCO_3~-障碍,回吸收Cl~-增多所致的高血氯性酸中毒,临床表现比较复杂,容易延误诊治,结合我院近二年住院被误诊的4例RTA患者,就其容易被误诊的各种临床表现,进行分析,以吸取教训,并探讨正确诊断与合理治疗 Renal tubular acidosis (hereinafter referred to as RTA), by the renal tubular secretion of H ~ + and / or reabsorption of HCO_3 ~ - disorder, back to absorb Cl ~ - increased hyperglycemic acidosis, the clinical manifestations of more complex, Easy to delay diagnosis and treatment, combined with our hospital nearly two years inpatient misdiagnosis of 4 cases of RTA patients, its easily misdiagnosed a variety of clinical manifestations, in order to learn the lessons and to explore the correct diagnosis and reasonable treatment