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?????????????(?) ??????
1????
?????????????????????????????????????????????????????1.010~1.020??280mOsm/(kg?H2O)???CRF???????????? ??
2??????
(1)??
???????????????V???????????????????????????????????????????????? ?????
(2)???
???????125(OH)2D3???????????????????????
??????????D-125(OH)2D3?????????????pH??????????
(3)???????
?????????????????????????????????????
(4)?
???????????????????????CO2-CP13mmol/L???????????????????????????

?????????????????10??????
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???1.????????6070%???????????renaltubularacidosis????????????????????
2.????Cl-?Na+?1020%???????????????????????????
3.???????????H+K+NH3?Na+????????????????????????????????

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??????????????????????
??????????????????20:1???40??^
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????40%~80%????????????????????????????????????????????
???
???????k???? ???????????90%????????????????????????????????????????
???
????????????1/4??200X????B??PH8.0??100
?
90%??????????????????17%~25%??
??
?????????????>0.42mmol...

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???????????????????????????1.0151.030 ???????????????????????1.0100.003?
?????????m?????????????????m??????????????????????+?????,??,????.????,??,???,.?,?,,?,???,????,??,???,??,?,???. ????????,????,???,???,??;30-40,?????,...

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1. 3??
(1)??????>171mol/L???????????ALT?????????;
(2)?????3?23????;
(3)????????????????1????q???
2. ????????????
3.?? ????
4.?? ????????
5.? ?????????????
6.??? ?????(2)??23????????28??
7.?? ????????????????????????????
8.???????
9.???????????

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