“混合型”酸碱紊乱一般意味着“二重混合型”。实际上,体内酸碱调节极其微妙,酸碱紊乱颇为复杂,不仅有二重混合型酸碱紊乱,尚有混合型三重酸碱紊乱。目前对后者认识还十分欠缺。本文试图简述三重酸碱紊乱的概念、病因、判断及处理原则。 “Mixed” acid-base disorders generally means “double mixed.” In fact, the body acid-base regulation is extremely delicate, acid-base disorders is quite complicated, not only mixed dicarboxylic acid-base disorders, there are mixed triple acid-base disorders. The current understanding of the latter is still very lacking. This article attempts to outline the concept of triple acid-base disorders, etiology, judgment and treatment principles.