强离子隙在急危重症中的应用

doi:10.3969/j.issn.1674-490X.2023.01.005

摘要/Abstract

摘要： 急危重症患者易发生各种酸碱代谢紊乱,严重影响患者的生存质量,及时监测酸碱平衡参数对评估患者的病情十分重要。传统的血气、生化指标诊断复杂的酸碱代谢紊乱时结果往往存在偏倚,不利于病情的准确评估。强离子隙是近些年来国外学者研究提出的全新反映酸碱代谢紊乱的指标,不易受呼吸性酸中毒、呼吸性碱中毒及药物的影响,测量结果较稳定,对急危重症患者的疾病诊断和临床治疗提供重要的参考价值,并能准确地评估患者的预后。现就目前强离子隙在急危重症中的应用进行综述。

关键词: 强离子隙, 急危重症, 预测, 评估

Abstract: Acute and critically ill patients are prone to various acid-base metabolism disorders, which seriously affect the patient's quality of life. Timely monitoring of acid-base balance parameters is very important for assessing the patient's condition. Traditional blood gas and biochemical indicators are often biased in the diagnosis of complex acid-base metabolism disorders, which is not conducive to accurate assessment of the disease. Strong ion gap is a new indicator of acid-base metabolism disorder proposed by foreign scholars in recent years. It is not easily affected by respiratory acidosis, respiratory alkalosis and drugs. The measurement result is relatively stable, and it can be used for the diagnosis of critically ill patients. Clinical treatment provides important reference value, which can accurately assess the prognosis of patients. Therefore, this article reviews the current research progress of strong ion gap in acute and critical illness.

Key words: strong ion gap, acute and critical illness, prognostication, assessment

中图分类号:

李露茜,梁璐,陈放,路潇,杨伟红. 强离子隙在急危重症中的应用[J]. 医学研究与教育, 2023, 40(1): 33-39.

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