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近年来才认识到碱中毒的临床意义,虽然它比酸中毒的危险性小,但其病因更为复杂,治疗也更为困难。如幽门梗阻、肝硬化和肝肾功能衰竭的病员,常并发严重的代谢性和低氯性碱中毒一般治疗往往无效。作者报导在过去四年中遇有8例病情复杂的病员,虽经各种一般治疗,仍存在着严重的碱中毒,这些病员经应用静脉内滴注盐酸溶液治疗获得成功、酸碱平衡恢复正常。滴注盐酸溶液的量根据所缺的氯和(或)氢离子计算之。滴注速度根据病人的临床情况予以调整,往往需超过12～24小时。静脉内滴注盐酸溶液常用等渗液,即在1升
In recent years, only to recognize the clinical significance of alkalosis, although it is less dangerous than acidosis, but the etiology is more complicated and the treatment is more difficult. Patients with pyloric obstruction, cirrhosis, and liver and kidney failure are often ineffective in the general management of severe metabolic and hypochlorite alkalosis. The authors report that in the last four years, eight patients with complicated conditions experienced severe alkalosis despite various general treatments. These patients were successfully treated with an intravenous infusion of hydrochloric acid solution and the acid-base balance returned to normal . The amount of hydrochloric acid instilled is calculated based on the lack of chlorine and / or hydrogen ions. Instill speed according to the patient’s clinical situation to be adjusted, often take more than 12 to 24 hours. Intravenous infusion of hydrochloric acid solution commonly used isotonic solution, that is 1 liter