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A rare cause of metabolic acidosis; Hypoplastic left heart syndrome

机译:代谢性酸中毒的罕见原因;发育不良的左心综合征

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A rare cause of metabolic acidosis; Hypoplastic left heart syndrome Nihat Demir 1 , ?brahim Ece 2 , Kaan Demir?ren 3 , Nesrin Ceylan 3 , Erdal Peker 1 , O?uz Tuncer 1 1 2 3 Metabolic acidosis is a common problem especially in newborns. Metabolic acidosis develops due to acid deposition rather than HCO3 loss in body fluids. It separates into two groups as anion gap normal and anion gap increased depending on anion gap level. Metabolic diseases, neonatal sepsis, congenital adrenal hyperplasia and congenital heart diseases should be thought with the observation of metabolic acidosis in a previously healthy infants. NaHCO3 infusion, renal replacement treatment and tamps like karbicarb, dichlora acetate, tromethamine are used for treatment of congenital heart diseases or lactic acidosis secondary to hypoxia. In this article we want to emphasize there are not only congenital metabolic illnesses under this non-response acidosis table but also there are congenital heart diseases which are in substantial rate.
机译:代谢性酸中毒的罕见原因;发育不良的左心综合征Nihat Demir 1 ,?brahim Ece 2 ,Kaan Demir?ren 3 ,Nesrin Ceylan 3 ,Erdal Peker 1 ,O?uz Tuncer 1 1 2 3 代谢性酸中毒是一个普遍的问题,尤其是在新生儿中。代谢性酸中毒的发生是由于酸的沉积而不是体液中HCO3的损失。随着阴离子间隙的正常和阴离子间隙的增加(取决于阴离子间隙的水平),它分为两组。代谢疾病,新生儿败血症,先天性肾上腺皮质增生和先天性心脏病应与先前健康的婴儿的代谢性酸中毒相结合来考虑。 NaHCO3输注,肾脏替代治疗和karbicarb,醋酸二氯,三丁胺之类的填塞剂用于治疗先天性心脏病或继发于低氧的乳酸性酸中毒。在本文中,我们要强调的是,在此无反应性酸中毒表下不仅存在先天性代谢疾病,而且存在大量的先天性心脏病。

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