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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。
Through the dynamic observation of the changes of anion gap (AG) in 97 cases of epidemic hemorrhagic fever patients, we found that the AG of EHF can be increased, normal and decreased in three types of changes; EHF duration, oliguria AG was significantly higher Normal and other stages, no significant difference between other periods; AG changes in EHF also has a certain relationship between the type and prognosis of critically ill patients with AG> heavy> medium> light AG, died of AG was significantly higher Survivor AG. These changes suggest that the detection of AG in EHF is not only important for the diagnosis of acid-base balance disorders, but also may have important value in judging and estimating the condition and prognosis of patients with EHF.