最近发表的几篇乳酸性酸中毒的综述必然会引起争论。本文试图为临床医师提供乳酸性酸中毒的临床方面的总概念。首先,作者的观点与Park和Arieff的观点不同,他们对乳酸性酸中毒的险恶预后含糊不清,都认为乳酸性酸中毒是一种可以治疗的独立疾病。然而,作者认为乳酸性酸中毒不是一种原发性疾病,而是各种严重疾病的一种表现,医生必须要认识和治疗这些严重疾病。其中有些疾病如肺水肿是可以完全治疗的,尽管多数病人有乳酸性酸中毒,但仍可以渡过急性发作而存活。另外一些疾病如心肌梗死所致的心源性休克,仍存有一 Several recent reviews of lactic acidosis are bound to cause controversy. This article attempts to provide clinicians with a general idea of ​​the clinical aspects of lactic acidosis. First, the author’s point of view is different from Park and Arieff’s point of view. They were vague about the dangerous prognosis of lactic acidosis. Lactic acidosis is considered an independent disease that can be treated. However, the authors believe lactic acidosis is not a primary disease, but a manifestation of various serious diseases that doctors must recognize and treat. Some of these diseases such as pulmonary edema are completely treatable, and although most have lactate acidosis, they survive the acute episode. Other diseases such as cardiogenic shock due to myocardial infarction, there is still one