内科学新进展：Acidosis and Alkalosis.pptVIP

Under normal circumstances, excretion of NH4accounts for more than half of the net acid excreted per day. Increasing evidence suggest that the nonerythoid glycoproteins RhBg and RhCg may be involved in ammonia secretion. * High anion gap acidosis: three and half * Types and Causes of Lactic Acidosis Renal failure With mild to moderate reductions in GFR, the acidosis reflects decreased ammoniagenesis and is therefore hyperchloremic. As kidney failure worsens, the kidney loses its ability to excrete various anions, and the accumulation of sulfate, phosphate, and other anions, produces an el