酸中毒和碱中毒,Case,Case,A 22-year-old woman who had been injured in an accident received 6 liters of isotonic saline, The plasma Na 135 mmol/l , K 3.8 mmol/l, Cl 115 mmol/l, and HCO3 18 mmol/l. The blood pH 7.28, and the PaCO2 39 mm Hg. The urinary sodium 65 mmol/l, potassium 15 mmol/l, and chloride 110 mmol/l. The patients serum albumin 2.7 g/dl after the infusion of saline. Her blood pressure was 98/52 mmHg, and her pulse rate was 102 beats/m. She had been healthy before the accident, was receiving