Bloom S A, Canzanello V J, Strom J A, Madias N E
Am J Med. 1985 Oct;79(4):528-30. doi: 10.1016/0002-9343(85)90044-0.
A patient was encountered in whom clinically significant spurious hypocapnia and hypobicarbonatemia were diagnosed resulting from the dilutional effect of excessive amounts of sodium heparin solution in the blood sample. This report presents the relevant data in this patient, summarizes the effects of heparin on the determination of the acid-base status, and provides suggestions for avoiding this important pitfall in clinical practice.
我们遇到了一位患者,其血液样本中因过量肝素钠溶液的稀释作用而被诊断出具有临床意义的假性低碳酸血症和低碳酸氢盐血症。本报告展示了该患者的相关数据,总结了肝素对酸碱状态测定的影响,并为避免临床实践中这一重要陷阱提供了建议。