Department of Medicine, Division of Hospital Medicine, Denver Health and Hospital Authority, University of Colorado, Denver, CO
Medical Service, VA San Francisco Healthcare System, San Francisco, CA; Department of Medicine, University of California San Francisco, San Francisco, CA.
Cleve Clin J Med. 2023 Oct 2;90(10):619-623. doi: 10.3949/ccjm.90a.23035.
In teaching and in practice, little attention is given to a low anion gap. This oversight can result in a missed opportunity to diagnose acute or chronic disorders requiring treatment. In this article, we review the constituents of the anion gap, build a differential diagnosis for a low anion gap using case examples, and provide a stepwise approach to diagnostic testing to evaluate this abnormal finding.
在教学和实践中,很少关注低阴离子间隙。这种忽视可能导致错失诊断需要治疗的急性或慢性疾病的机会。在本文中,我们回顾了阴离子间隙的组成,通过案例示例构建了低阴离子间隙的鉴别诊断,并提供了逐步的诊断检测方法来评估这一异常发现。