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贵刊在80年第7期刊登的《高钾血症的病因及诊断》一文,读后感到对临床实践指导作用颇大。但在该文第一节酸中毒、低钠、低钙与高钾中,第一句即酸中毒时细胞内钾向细胞外液移动,血钾浓度升高,尿钾排出量增加,多见于代谢性酸中毒及休克。这一提法我们的看法是有分岐的。因为代谢性酸中毒引起血钾浓度的升高有二个方面,其一正如作者所述,细胞内的钾向细胞外液移动,即在酸中毒的情况下,细
Your publication published in the first 7 in 80 “etiology and diagnosis of hyperkalemia,” a text, after reading feel a great role in clinical practice guidance. However, in the first section of the article acidosis, hyponatremia, hypocalcemia and high potassium, the first sentence of acidosis, intracellular potassium to the extracellular fluid movement, potassium concentration increased urinary potassium excretion increased more common in Metabolic acidosis and shock. Our opinion is divided on this formulation. Because of metabolic acidosis caused by elevated potassium concentration in two ways, one as the author said, intracellular potassium to the extracellular fluid movement, that is, in the case of acidosis, thin