摘要
通过对97例流行性出血热患者的阴离子隙(AG)变化的动态观察发现,EHF 的 AG可呈升高、正常和降低三种类型的变化;在 EHF 病程中,少尿期 AG 显著高于正常和其他各期,其他各期间无显著性差异;EHF 的 AG 变化还与病型和预后之间有一定的关系,危重型患者的 AG>重型>中型=轻型的 AG,病死者 AG 显著高于存活者 AG。这些变化规律提示在 EHF 检测 AG 不仅对于酸碱平衡紊乱的诊断具有重要意义,而且对 EHF 患者的病情和预后的判断与估计也可能有重要的价值。
The kinetic alterations of Anion gap (AG) were observed in 97 EHF patients in this study.It was found that the AG could chang in three kinds of model:increase,normal,decrease,43.3% and 24. 7% EHF patients' AG should increase or decrease respectively during the whole course of the disease. The patients with both increase and decrease AG were 18.6%.Only 13.3% patients had normal AG at all stages of the disease.AG was higher at oliguric stage than at the others and normal person.AG of grave case was the highest among the patients.AG of severe one was significant higher than that of moderate and mild one.And the AG of patients died from EHF was evidantly higher than that of alive patinets at the same time.These regular alterations of AG in EHF imply that the detection of AG is not only an important and practical aproach for diagnoses of acid-base disorders,but also helpful to prognosing the prognosis and severity of EHF.
关键词
流行性出血热
阴离子隙
Hemorrhagic Fever
Epidemic
acid-base equilibrium
