随着动脉血气分析测定在临床上的广泛应用,以及近年来提出的阴离子同隙(AG)的概念,人们对于酸碱失调,特别是较为复杂的混合性酸碱失调的诊断有了新的认识。新近 Narins 和 Bear 又提出了三重酸碱失调的新概念,即在一种呼吸性酸碱失调(简称呼酸或呼碱)的同时合并代谢性酸中毒(代酸)和代谢性碱中毒(代碱)。文献仅报告有呼碱+代碱+代酸,其中1例见于呼碱伴代碱的基础上再合并高 AG 代酸;另1 With the wide range of clinical applications of arterial blood gas analysis and the concept of anion gap (AG) proposed in recent years, there is a new understanding of the diagnosis of acid-base disorders, especially the more complex mixed acid-base disorders . Recently, Narins and Bear proposed the new concept of triple acid-base disorders, which is a combination of metabolic acidosis (metabolic acidosis) and metabolic alkalosis (metabolic syndrome) on behalf of a respiratory acidosis or alkalosis Base). Literature reported only on behalf of the alkali + alkali + acid, one case found in the call alkali with alkali and then combined with high AG acid; the other 1