对酸盐中毒的尿液化不经常测量,也不经常实现
Bernard Weigel1,2, Chanell Davis1,2, Sean M Bryant1,2
1Department of Emergency Medicine, Cook County Health, Chicago, IL; and.
American journal of therapeutics
|April 23, 2025
概括
在酸盐中毒治疗期间尿液pH值的监测经常被忽视,记录的病例不到一半. 口头推改善了遵守,突出了临床实践中的差距.
科学领域:
- 毒理学 毒理学 毒理学
- 临床化学 临床化学
背景情况:
- 尿液化对于治疗酸盐中毒至关重要.
- 临床指南要求连续测量尿液pH值.
研究的目的:
- 在酸盐中毒病例中评估尿液pH值测量的频率.
- 为了确定通过二碳酸治疗实现的尿路化的速率.
主要方法:
- 由中毒中心管理的352个酸盐中毒病例 (2019-2023) 的回顾性分析.
- 纳入标准:用碳酸盐处理的盐酸盐度>30 mg/dL;排除:血液透析.
- 结果:尿液pH记录,测量频率,达到pH≥7.5.5的结果.
主要成果:
- 尿液pH值仅在41%的病例中得到记录.
- 尿液化 (pH ≥7.5) 在34%的记录pH的病例中得到了实现.
- 较高的酸盐水平和口头建议增加了pH测量的几率.
结论:
- 在酸盐中毒时,尿液pH值监测指南的遵守情况不佳.
- 在促进pH测量方面,口头推比书面指南更有效.
- 需要进一步研究临床效用和坚持障碍.
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