注意这一差距：一例不明原因的阴离子间隙升高且无伴随代谢性酸中毒的病例。
Mind the gap: A case of unexplained elevated anion gap without concomitant metabolic acidosis.
作者信息
Wray Samantha R, Patel Puja P, Jackson Christopher D
机构信息
Department of Medicine, Division of General Internal Medicine, University of Tennessee Health Science Center, Memphis, TN.
Department of Medicine, Division of Rheumatology, University of Tennessee Health Science Center, Memphis, TN.
出版信息
J Natl Med Assoc. 2023 Feb;115(1):77-80. doi: 10.1016/j.jnma.2022.11.002. Epub 2022 Dec 17.
Hypertriglyceridemia causing unexplained hypobicarbotinemia and elevated anion gap is rare. We report the case of a 33-year-old woman who presented with an unexplained high anion gap after a subacute gastrointestinal illness. An arterial blood gas showed a normal bicarbonate level, and a lipid panel resulted in a triglyceride level too high to read, establishing the diagnosis. Treatment included using triglyceride-lowering agents with normalization in the patient's serum bicarbonate levels.
高甘油三酯血症导致不明原因的低碳酸氢盐血症和阴离子间隙升高的情况较为罕见。我们报告了一名33岁女性的病例，该患者在亚急性胃肠道疾病后出现不明原因的高阴离子间隙。动脉血气显示碳酸氢盐水平正常，血脂检查结果显示甘油三酯水平过高无法读数，从而确诊。治疗措施包括使用降甘油三酯药物，患者血清碳酸氢盐水平恢复正常。
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