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通过异常的“乳酸间隙”快速诊断乙二醇中毒:一例报告

Prompt Diagnosis of Ethylene Glycol Intoxication by an Unusual "Lactate Gap": A Case Report.

作者信息

Tang Jie

机构信息

Alpert Medical School of Brown University, Division of Kidney Diseases and Hypertension, Providence, Rhode Island.

出版信息

Clin Pract Cases Emerg Med. 2022 Feb;6(1):68-70. doi: 10.5811/cpcem.2021.12.54928.

Abstract

INTRODUCTION

Ethylene glycol intoxication can be lethal if diagnosis is delayed. Often, prompt diagnosis may need to be based on indirect laboratory findings.

CASE REPORT

We present a case of severe ethylene glycol intoxication whose diagnosis was based on an unusual "lactate gap." The patient responded well to the treatment and had a full recovery.

CONCLUSION

A "lactate gap" can be helpful in establishing a diagnosis of ethylene glycol intoxication.

摘要

引言

如果诊断延迟,乙二醇中毒可能会致命。通常,快速诊断可能需要基于间接实验室检查结果。

病例报告

我们报告一例严重乙二醇中毒病例,其诊断基于一个不寻常的“乳酸间隙”。患者对治疗反应良好,完全康复。

结论

“乳酸间隙”有助于乙二醇中毒的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5ab/8885215/d01b52dbb1d0/CPCEM-6-68-g001.jpg

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