论文部分内容阅读
对肝性脑病患者97例进行258例次血气分析和阴离子隙(AG)测定,以判断酸硷紊乱的类型。结果表明,AG升高者93例次(36.0％);正常者121例次(46.9％);降低者44例次(17.1％)。其中单纯性酸硷紊乱82例次(31.8％);二重酸硷紊乱(二重ABD)145例次(56.2％);三重酸硷紊乱(三重ABD)28例次(10.8％)。AG升高是早期发现呼吸性硷中毒合并代谢性酸中毒和三重ABD的可信指标。临床应用AG概念时,一方面应严格质控血清电解质检测,另一方面应排除使AG升高或降低的有关因素。
258 cases of hepatic encephalopathy in patients with 258 cases of blood gas analysis and anion gap (AG) determination to determine the type of acid-base disorders. The results showed that there were 93 cases of AG elevation (36.0%), 121 cases (46.9%) of normal, and 44 cases (17.1%) of reduction. There were 82 cases (31.8%) with simple acid alkalosis, 145 cases with double alkalosis (double ABD), 28 cases (10.8%) with triple alkaloid disorder (triple ABD). Elevated AG is a credible indicator of early detection of respiratory alkalosis combined with metabolic acidosis and triple ABD. Clinical application of AG concept, on the one hand should be strictly controlled serum electrolyte testing, on the other hand should be excluded to raise or lower AG related factors.