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本文报告1例近端型肾小管性酸毒,临床上有明显的自发性酸中毒和低血钾。在进行N(?)CO_3负荷试验时,我们以血气分析仪直接测定血、尿、CO_2和HCO_3~-,可以方便地计算出HCO_3~-肾阈和排泄分数。 病人,女性,51岁,农民。因呕吐、纳差、乏力,消瘦及吞咽困难1月余,加重,生活不能自理4天,于1989年10月23日来院就诊。患者平素健康。无颜面及下肢浮肿史,亦无尿频、尿急、排尿困难史。慢
This article reports a case of proximal tubular acidosis, clinically significant spontaneous acidosis and hypokalemia. In the N (?) CO_3 load test, we can easily calculate the HCO3_ - renal threshold and excretion fraction by blood gas analyzer directly measuring blood, urine, CO_2 and HCO_3 ~ -. Patient, female, 51 years old, farmer. Due to vomiting, anorexia, fatigue, weight loss and swallowing more than 1 month, aggravating, life can not take care of themselves for 4 days, on October 23, 1989 to the hospital. Patients usually healthy. No history of face and lower extremity edema, nor urinary frequency, urgency, dysuria history. SLOW