乳酸间隙作为识别乙二醇中毒的一种工具。
Lactate gap as a tool in identifying ethylene glycol poisoning.
作者信息
Sagar A S, Jimenez Carlos A, Mckelvy Brandy J
机构信息
Department of Pulmonary, Critical Care and Sleep Medicine, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Department of Pulmonary Medicine, MD Anderson Cancer Center, Houston, Texas, USA.
出版信息
BMJ Case Rep. 2018 Mar 9;2018:bcr-2018-224243. doi: 10.1136/bcr-2018-224243.
Abstract
Ethylene glycol toxicity is a known cause of anion gap metabolic acidosis, with the presence of an osmolar gap and the right clinical context suggesting to the diagnosis. Rapid recognition and early treatment is crucial. Unfortunately, ethylene glycol levels are not readily available and must be performed at a reference laboratory. We present a case where recognising the significance of the 'lactate gap' assisted in identifying ethylene glycol poisoning.
摘要
乙二醇中毒是阴离子间隙代谢性酸中毒的已知病因，存在渗透压间隙以及合适的临床背景提示可做出诊断。快速识别和早期治疗至关重要。不幸的是，乙二醇水平检测结果不能很快获得，必须在参考实验室进行检测。我们报告一例通过认识“乳酸间隙”的意义辅助诊断乙二醇中毒的病例。
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本文引用的文献
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