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肾小管性酸中毒(Renal tubular acidosis,RTA)发病隐匿,临床表现复杂,常易误诊、漏诊,以致晚期合并的肌病、骨病,甚至因低血钾突发呼吸肌麻痹及/或心脏骤停而死亡。今列举4例探讨误诊原因,并对鉴别诊断提出一些看法。
Renal tubular acidosis (RTA) occult pathogenesis, complex clinical manifestations, often misdiagnosed, missed diagnosis, resulting in late combined myopathy, bone disease, and even sudden hypokalemic respiratory muscle paralysis and / or cardiac arrest Stop and die. Here are 4 cases to explore the causes of misdiagnosis, and made some observations on the differential diagnosis.