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阴离子间隙中的差距。

Gaps in the anion gap.

作者信息

Salem M M, Mujais S K

机构信息

Department of Medicine, Northwestern University Medical School, Chicago, Ill.

出版信息

Arch Intern Med. 1992 Aug;152(8):1625-9.

PMID:1497396
Abstract

OBJECTIVE

To review limitations of the use of serum anion gap in clinical practice.

DATA SOURCES

Original reports and reviews.

STUDY SELECTION

Sources containing the most recent pertinent information.

DATA SYNTHESIS

Theoretical and practical limitations beset the use of serum anion gap. Awareness of these limitations reduces but does not eliminate wrong diagnoses based on the anion gaps.

CONCLUSIONS

Serum anion gap has a limited value in the differential diagnosis of acid-base disorders and can be misleading.

摘要

目的

回顾血清阴离子间隙在临床实践中的应用局限性。

资料来源

原始报告及综述。

研究选择

包含最新相关信息的来源。

资料综合

血清阴离子间隙的应用存在理论和实际的局限性。了解这些局限性虽能减少但不能消除基于阴离子间隙的错误诊断。

结论

血清阴离子间隙在酸碱平衡紊乱的鉴别诊断中价值有限,且可能产生误导。

相似文献

1
Gaps in the anion gap.阴离子间隙中的差距。
Arch Intern Med. 1992 Aug;152(8):1625-9.
2
Serum anion gap: its uses and limitations in clinical medicine.血清阴离子间隙:其在临床医学中的应用及局限性
Clin J Am Soc Nephrol. 2007 Jan;2(1):162-74. doi: 10.2215/CJN.03020906. Epub 2006 Dec 6.
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Metabolic acid-base disorders in the critical care unit.重症监护病房中的代谢性酸碱紊乱
Vet Clin North Am Small Anim Pract. 2008 May;38(3):559-74, x-xi. doi: 10.1016/j.cvsm.2008.02.003.
4
Diagnosis and treatment of simple acid-base disorders.单纯性酸碱平衡紊乱的诊断与治疗
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Clinical utility of anion gap in deciphering acid-base disorders.阴离子间隙在酸碱失衡解读中的临床应用
Int J Clin Pract. 2009 Oct;63(10):1516-25. doi: 10.1111/j.1742-1241.2009.02000.x.
6
[The magnitude of the 'anion gap'].["阴离子间隙的大小"]
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Diagnosing metabolic acidosis in the critically ill: bridging the anion gap, Stewart, and base excess methods.危重症患者代谢性酸中毒的诊断:弥合阴离子间隙、Stewart法和碱剩余法之间的差距
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Clinical approach to the diagnosis of acid-base disorders.酸碱平衡紊乱的临床诊断方法
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Predictive accuracy of intrapartum cardiotocography in terms of fetal acid base status at birth.产时胎心监护对出生时胎儿酸碱状态的预测准确性。
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Application of genetic programming for the differential diagnosis of acid-base and anion gap disorders.
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Association between delta anion gap/delta bicarbonate and outcome of surgical patients admitted to intensive care unit.阴离子间隙差值/碳酸氢根差值与重症监护病房收治手术患者结局的关系。
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Usefulness of serum fibrin degradation products and D-dimer levels as biomarkers to predict return of spontaneous circulation in patients with cardiopulmonary arrest on arrival: comparison with acid-base balance.血清纤维蛋白降解产物和D - 二聚体水平作为预测心脏骤停患者入院时自主循环恢复的生物标志物的效用:与酸碱平衡的比较
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Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit.入院时血清阴离子间隙作为儿科重症监护病房死亡率的预测指标。
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Hyperphosphatemia, a Cause of High Anion Gap Metabolic Acidosis: Report of a Case and Review of the Literature.高磷血症——高阴离子间隙代谢性酸中毒的一个病因:病例报告及文献综述
Am J Case Rep. 2017 Apr 28;18:463-466. doi: 10.12659/ajcr.902862.
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The Significance of Strong Ion Gap for Predicting Return of Spontaneous Circulation in Patients with Cardiopulmonary Arrest.强离子间隙对预测心肺骤停患者自主循环恢复的意义
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Ion-selective electrode and anion gap range: What should the anion gap be?离子选择电极与阴离子间隙范围:阴离子间隙应该是多少?
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Unmeasured anions: the unknown unknowns.未测定阴离子:未知的未知因素。
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