The purging involved in bulimia can also cause a depletion of electrolytes which leads to a low level of sodium, chloride, magnesium, phosphate, and potassium, as well as a general metabolic alkalosis.

暴食排食过程会导致电解质丢失，体内钠、氯、镁、磷和钾水平均低于正常值，同时整个人将处于代谢性毒状态。

Finally, the loss of protons also results in an alkalosis, and more specifically a metabolic alkalosis, since it's caused by the kidneys.

最后，氢离子丢失也会导致毒，更具体地说是代谢性毒，因为它是由肾脏造成。

That leads to a respiratory alkalosis, or an increase in blood pH, which also seems to make neurons more excitable.

这会导致呼吸性毒，即血液pH上升，也可使神经元更容易兴奋。

But the loss of stomach acid leads to metabolic alkalosis, which as we saw, can lead to hypokalemia.

但是胃酸丢失导致代谢性毒，如我们所见，可以导致低钾血。

All right, as a quick recap, hyperaldosteronism is the chronic, excess secretion of aldosterone from the zona glomerulosa of the adrenal gland, and these high aldosterone levels can lead to hypokalemia, hypernatremia, hypertension, and a metabolic alkalosis.

！回顾一下：醛固酮增多是指肾上腺球状带长期分泌过多醛固酮；这些高醛固酮水平可导致低钾血、高钠血、高血压与代谢性毒。

Another cause of an internal potassium balance shift could be an alkalosis, which is when the blood becomes too alkaline, in other words, there's a lower concentration of hydrogen ions —meaning a higher blood pH.

内部钾平衡变化另一种原因可能是毒，血液变过于性，也就是说，氢离子浓度过低，即更高血液pH。

A final cause of hypophosphatemia is respiratory alkalosis because it causes extracellular CO2 levels to decrease as it gets ventilated out of the lungs.

低磷血最后一个原因是呼吸性毒，因为细胞外CO2水平会随CO2被呼出肺部而下降。

When there's a high pH, or alkalosis, there are very few protons floating around, and so those carboxyl groups tend to be in the COO- form.

当血液pH值高或毒时，几乎没有氢离子在周围漂浮，所以那些羧基倾向于呈COO-形式。

So in order to help compensate for an alkalosis, hydrogen ions leave cells and potassium ions enter the cells and leave the blood, resulting in hypokalemia.

所以，为了帮助毒代偿，氢离子离开细胞，而钾离子离开血液、进入细胞，导致低钾血。