Alcalosis metabólica hipoclorémica o alcalosis de iones fuertes: una revisión

Q2 Veterinary

Revue De Medecine Veterinaire Pub Date : 2016-06-14 DOI:10.19052/MV.3862

David Rodriguez, O. J. O. Espinosa

引用次数: 1

Abstract

Over the past 100 years numerous studies sought to elucidate the mechanisms of acid-base balance in humans and animals. Based on these investigations, different approaches have been developed; among them, the model proposed by Henderson-Hasselbalch (H-H) is the most widespread in the medical and medical-veterinary community. In recent years, another method proposed by Stewart has gained importance, and it corresponds to the strong ion difference, which aims to take a broader look in order to understand the different processes involved in acid-base balance. Both in human and veterinary medicine, one of the most common acid-base disorder in ICUs is hypochloremic metabolic alkalosis, which results from vomiting in humans and from abomasal disorders in ruminants. This disorder can remain for long periods during which acidic urine occurs and it is known as paradoxical aciduria develops. This article reviews the different pathophysiological mechanisms occurring during this acid-base disorder and the different approaches to explain its occurrence.

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低氯血症代谢性碱中毒或强离子碱中毒:综述

在过去的100年里，许多研究试图阐明人类和动物的酸碱平衡机制。在这些调查的基础上，开发了不同的方法;其中，由Henderson-Hasselbalch (H-H)提出的模型在医学和医学兽医界最为广泛。近年来，Stewart提出的另一种方法得到了重视，它对应于强离子差，旨在从更广阔的角度来理解酸碱平衡所涉及的不同过程。在人类和兽医学中，icu中最常见的酸碱失调之一是低氯血症代谢性碱中毒，这是由人类呕吐和反刍动物的胃紊乱引起的。这种疾病可以持续很长一段时间，在此期间酸性尿发生，它被称为矛盾性酸性尿的发展。本文综述了在这种酸碱失调中发生的不同病理生理机制以及解释其发生的不同方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revue De Medecine Veterinaire 农林科学-兽医学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

18-36 weeks

期刊介绍： The Revue de Médecine Vétérinaire publishes four kinds of text: 1) Scientific reviews on subjects related to veterinary and comparative medicine. Suggested length: 10 to 30 typed pages. 2) Original reports on fundamental or applied research. Suggested length: 10 to 15 typed pages. 3) Continuous education articles, that should be easily understandable by non-specialists. Suggested length: 10 to 15 typed pages. 4) Clinical reports. Suggested length: 5 to 15 typed pages. The publication can be done in French language or English language. For an article written in English by not english native speakers authors, the manuscript must be subjected by attesting that it was read again by an anglophone scientist or a scientific translator. The authors must certify that the manuscript was not published or subjected for publication to another review. The manuscript must be accompanied by a sheet signed by all the joint authors indicating their agreement for the tender of the manuscript. The publication is free but a financial participation could be required for the photographs color. An estimate will be sent to collect the agreement of the authors.