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近年来慢性肝病并发肾小管性酸中毒的问题已引起临床的重视,现报告1例慢活肝(CAH)并发肾小管性酸中毒,并结合文献进行讨论。病历摘要:患者,男,62岁,住院号54786,因肝功能反复异常10余年,全身乏力伴两下肢不能活动2天于1979年2月5日入院。1963年曾患“急性肝炎”,病程迁延。1979年1月因低热、乏力、两下肢软弱和不能活动,在外院查血钾2.6mEq/L、血钠132mEq/L、血氯123mEq/L。经补充钾盐后上述症状好转。为进一步检查而收住院。体检:T37.6,P64,R18,BP110/70,
In recent years, chronic liver disease complicated by renal tubular acidosis has caused clinical attention, is reported in 1 case of slow-living liver (CAH) associated with renal tubular acidosis, combined with the literature to be discussed. Patient, male, 62 years old, hospital number 54786, recurrent dysfunction due to liver function more than 10 years, generalized weakness with two lower extremities can not be active for 2 days in February 5, 1979 admission. 1963 had “acute hepatitis”, duration of the disease. In 1979 January due to fever, fatigue, weakness and can not move the two lower extremities, check potassium 2.6mEq / L, serum sodium 132mEq / L, blood chloride 123mEq / L. After the potassium salt after the above symptoms improved. Admitted to hospital for further examination. Physical examination: T37.6, P64, R18, BP110 / 70,