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???????????????????????????1.0151.030 ???????????????????????1.0100.003?
?????????m?????????????????m??????????????????????+?????,??,????.????,??,???,.?,?,,?,???,????,??,???,??,?,???. ????????,????,???,???,??;30-40,?????,???X?,???,????,??????,????????,???.
??????????????????????
+???1???????????????????+)500mg/24??????2????????+++),?+?+++?????????+++++????+++++++
?????????????????^??????????????+??????????????????????...

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

?????????

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

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???CRF???
?(?)
    ?(GFR)8050ml/min(?CFR)?{(Scr)133177mol/L??????
?(?)
    ?(GFR) 5020ml/minScr186446mol/L)???????????????
(?)
    GFR 2010ml/minScr451707mol/L????????????????????
(????)
    GFR 10ml/minScr707mol/L

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35??(???)?
?????????
?????????????chronic type??accellerated type???????????????????1%5%

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