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

但是胃酸的丢失导致代谢性碱中毒，如我们所见，可以导致低钾血症。

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

这会导致呼吸性碱中毒，即血液pH上升，也可使神经元兴奋。

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值高或碱中毒时，乎没有氢离子在周围漂浮，所以那倾向于呈COO-的形式。

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，氢离子的丢失也会导致碱中毒，具体地说是代谢性碱中毒，因为它是由肾脏造成的。

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，为了帮助碱中毒的代偿，氢离子离开细胞，而钾离子离开血液、进入细胞，导致低钾血症。

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.

暴食症中的排食过程会导致电解质丢失，体内的钠、氯、镁、磷和钾水平均低于正常值，同时整个人将处于代谢性碱中毒的状态。

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.

内部钾平衡变化的另一种原因可能是碱中毒，血液变得过于碱性，也就是说，氢离子浓度过低，即高的血液pH。