离子间隙作为疾病和死亡率的预测工具
1Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Critical reviews in clinical laboratory sciences
|July 18, 2025
概括
阴离子间隙是酸性疾病的关键诊断工具,也是许多患者群体的发病率和死亡率的重要预测因素. 尽管可变的参考间隔,其在临床环境中的预测价值仍然至关重要.
科学领域:
- 临床化学 临床化学
- 医学诊断 医学诊断 医学诊断
- 生物标志物研究 生物标志物研究
背景情况:
- 自20世纪70年代以来,离子间隙一直是诊断酸性疾病的组成部分.
- 最近的文献强调了其作为疾病和死亡率预测标志物的新兴作用.
研究的目的:
- 为了回顾阴离子间隙的历史,衍生和参考区间问题.
- 对其在各种临床条件中的预测效用进行文献综述.
主要方法:
- 在PubMed搜索"ANION GAP" (截至12/31/2022),发现了2068个引用.
- 参考资料被分为预测性和非预测性用途,预测性研究进一步按临床队列进行分类.
主要成果:
- 升高的阴离子间隙显著预测了危急患者,一般人群,血糖,中毒,骨髓瘤,功能和队的发病率/死亡率.
- 发表的离子间隙参考间隔显示出高变化 (上限为1019 mmol/L;宽度为211 mmol/L).
结论:
- 作为疾病和死亡率的重要预测因素,离子间隙的好处超过了其已识别的缺陷.
- 方程和参考极限的变量质疑临床管理中"正常范围"的必要性.
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