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近年来,由于利尿酸等作用于髓袢升支强利尿药的广泛使用和现代外科胸腹联合手术允许的范围不断扩大,因而代谢性碱中毒的患者引起了人们的注意。尤典是幽门梗阻、肝硬化和肝肾功能衰竭的患者,较易并发严重的代谢性碱中毒。一般说来,代谢性碱中毒虽然较酸中毒危险性小,然其病因复杂、治疗棘手、严重时也可致命。代谢性碱中毒的治疗除可采用血液透析和交换输血等方法外,药物治疗为一重要手段。治疗低氯性代谢性碱中毒的药物中常用的是口服氯化钠、氯化钾和氯化铵。其中氯化铵多
In recent years, due to the role of uric acid and other drugs in the medulla oblongata supporting diuretics and the widespread use of modern surgical thoracoabdominal surgery allow the scope of the continuous expansion, and thus metabolic alkalosis patients has drawn people’s attention. Youdian is pyloric obstruction, cirrhosis and liver and kidney failure patients, more likely to be complicated by severe metabolic alkalosis. In general, although metabolic alkalosis is more dangerous than acidosis, its etiology is complicated and the treatment is difficult. In severe cases, it can be fatal. Metabolic alkalosis in addition to the treatment of hemodialysis and exchange of blood transfusion and other methods, the drug treatment is an important means. Commonly used in the treatment of low-chloride metabolic alkalosis drugs are oral sodium chloride, potassium chloride and ammonium chloride. Many ammonium chloride