关于离子间隙和强离子间隙的快速参考
1Servei d'Urgències i Medicina Intensiva (SUMI), Fundació Hospital Clínic Veterinari-UAB, Bellaterra, Barcelona.
The Veterinary clinics of North America. Small animal practice
|October 8, 2025
概括
危急病患者的代谢酸性疾病是复杂的. 本综述解释了离子间隙 (AG) 和强离子间隙 (SIG) 的计算,以帮助识别和管理这些具有挑战性的不平衡.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床化学 临床化学
背景情况:
- 代谢酸性疾病在急诊和重症患者中很常见.
- 诊断同时发生的酸干扰会带来重大的临床挑战.
- 未测量的离子使得对代谢酸状态的评估变得复杂.
研究的目的:
- 审查离子间隙 (AG) 和强离子间隙 (SIG) 计算的实用性.
- 在复杂的酸干扰中提供解释AG和SIG的指导.
- 定义AG和SIG的参考值和临床适应症.
主要方法:
- 关于代谢酸性疾病的文献综述.
- 分析AG和SIG在识别未测量的离子中的作用.
- 对AG和SIG的临床解释指南的综合.
主要成果:
- AG和SIG对于检测复杂的代谢酸干扰至关重要.
- 了解未测量的离子是准确诊断的关键.
- 临床指南有助于解释AG和SIG变化.
结论:
- AG和SIG是管理患有酸性疾病的重症患者不可或缺的工具.
- 准确解释AG和SIG可以改善患者的治疗结果.
- 本综述为临床医生提供了一个全面的指南.
相关概念视频
Ionic Strength: Overview
2.8K
The ionic strength of a solution is a quantitative way of expressing the total electrolyte concentration of a solution. This concept was first introduced in 1921 by two American physical chemists, Gilbert N. Lewis and Merle Randall, while describing the activity coefficient of strong electrolytes. During the calculation of ionic strength (I or μ), all the cations and anions are considered. However, the concentration (c) of an ion with a greater charge number (z) has a greater contribution...
2.8K
Ion-Exchange Chromatography
1.9K
Ion-exchange chromatography, or IEC, is a technique for separating ions based on their affinity for the stationary phase. The stationary phase is a cross-linked polymer resin with covalently attached ionic functional groups. The functional groups can be either positively charged (cation exchangers) or negatively charged (anion exchangers). A cation exchanger consists of a polymeric anion and active cations, while an anion exchanger is a polymeric cation with active anions. The choice of...
1.9K
Ion Exchange
1.1K
Ion exchange chromatography separates charged molecules from a solution by reversibly exchanging them with mobile, or 'active', ions associated with the oppositely charged stationary phase. This method can be used to separate ions, soften and deionize water, and purify solutions. The polymers comprising the ion-exchange column are high-molecular-weight and chemically stable polymers, crosslinked to be porous and essentially insoluble. They are also functionalized with either acidic or...
1.1K
Acid/Base Strengths and Dissociation Constants
68.6K
The relative strength of an acid or base is the extent to which it ionizes when dissolved in water. If the ionization reaction is essentially complete, the acid or base is termed strong; if relatively little ionization occurs, the acid or base is weak. There are many more weak acids and bases than strong ones. The most common strong acids and bases are listed below:
68.6K
Common Ion Effect
45.8K
Compared with pure water, the solubility of an ionic compound is less in aqueous solutions containing a common ion (one also produced by dissolution of the ionic compound). This is an example of a phenomenon known as the common ion effect, which is a consequence of the law of mass action that may be explained using Le Châtelier’s principle. Consider the dissolution of silver iodide:
45.8K
Ions as Acids and Bases
26.1K
Salts with Acidic Ions
Salts are ionic compounds composed of cations and anions, either of which may be capable of undergoing an acid or base ionization reaction with water. Aqueous salt solutions, therefore, may be acidic, basic, or neutral, depending on the relative acid-base strengths of the salt’s constituent ions. For example, dissolving the ammonium chloride in water results in its dissociation, as described by the equation:
Salts are ionic compounds composed of cations and anions, either of which may be capable of undergoing an acid or base ionization reaction with water. Aqueous salt solutions, therefore, may be acidic, basic, or neutral, depending on the relative acid-base strengths of the salt’s constituent ions. For example, dissolving the ammonium chloride in water results in its dissociation, as described by the equation:
26.1K


