超血症还是没有? 在急救部门的诊断陷
Frank-Peter Stephan1, Florian N Riede2, Luca Ünlü3,4
1Bürgerspital Solothurn, Department of Cardiology, Solothurn, Solothurn, Switzerland.
The western journal of emergency medicine
|February 7, 2025
概括
虚假的高血症,或虚假的水平升高,约占高血症急诊室 (ED) 病例的三分之一. 血液样本中的体外血液溶解是这些虚假结果的主要原因.
科学领域:
- 临床病理学 临床病理学
- 紧急医疗 紧急医疗
- 实验室医学 实验室医学
背景情况:
- 超血症是一种常见且潜在的危险的电解质失衡,在急诊室 (ED) 遇到.
- 在ED人群中,虚假高血症的患病率,即水平人为升高的患病率,尚未得到很好的确立.
- 了解虚假高血症的原因对于准确的诊断和患者管理至关重要.
研究的目的:
- 为了确定虚假高血症的发病率,患者向ED提交高水平 (≥5.0 mmol/L) 的患者.
- 为了确定这个患者队伍中虚假高血症的主要原因.
主要方法:
- 对2440名急诊室患者的回顾性图表审查,初始水平≥5.0 mmol/L.
- 患者在同一天进行了多次测量,以区分真实与虚假的高血症.
- 虚假的高血症是由初始高水平和随后的正常水平定义的;虚假的高血症是涉及血液溶解的子集.
主要成果:
- 总共有2,440名患者被分析,其中1,576名 (65%) 患有真正的高血症,864名 (35%) 患有虚假的高血症.
- 在最初的样本中,在597 (69%) 的虚假高血病病例中,鉴定出了初始样本中的体外血解,并将其归类为虚假高血病.
结论:
- 在ED环境中,大约三分之一的高血样本是假的,不反映真正的高血症.
- 血液样本采集或处理期间的体外血溶是导致虚假,虚假高血症的主要原因.
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