乙二醇中毒：基于高渗摩尔浓度、阴离子间隙和结晶尿的诊断。

Ethylene glycol poisoning: diagnosis based on high osmolal and anion gaps and crystalluria.

作者信息

Cadnapaphornchai P, Taher S, Bhathena D, McDonald F D

出版信息

Ann Emerg Med. 1981 Feb;10(2):94-7. doi: 10.1016/s0196-0644(81)80346-0.

Abstract

We report a case of ethylene glycol poisoning in a 54-year-old man found comatose on the street. No history was available. The diagnosis was based on the findings of a high anion gap metabolic acidosis, a high osmolal gap, and the presence of oxalate and hippurate crystals in the urine. The diagnosis was confirmed later by an ethylene glycol level of 775 mg/dl. This case illustrates how these parameters can be used in the emergency department for rapid diagnosis and management.

摘要

我们报告一例54岁男性乙二醇中毒病例，该患者被发现昏迷于街头，无既往病史。诊断基于高阴离子间隙代谢性酸中毒、高渗透压间隙以及尿中草酸盐和马尿酸盐结晶的检查结果。后来乙二醇水平为775mg/dl，确诊了该病例。此病例说明了这些参数如何在急诊科用于快速诊断和处理。