小儿秋季腹泻阴离子间隙147例分析

Analysis of Children Autumn Diarrhea Anion Gap in 147 Cases

目的 探讨秋季腹泻阴离子间隙 (AnionGap ,AG)变化及其与血清电解质的关系。方法 收集 1999年11月至 2 0 0 0年 1月住院的腹泻病儿临床资料 14 7例 ,采用酶联免疫吸附法 (ELISA)检测轮状病毒。结果 AG增高2 8例 ,占 19.0 5 %;AG正常 10 2例 ,占 69.3 9%,AG降低 17例 ,占 11.5 6%。AG水平随血清Cl- 、HCO3- 的降低而增高 ,同血清Na+ 、K+ 、Ca+ + 无明显关联 ,同脱水性质、脱水轻重无关。结论 AG增高是腹泻病代谢性酸中毒的确切依据 。

Objective Studying the change of Autumn Diarrhea Anion Gap (AG) and its relation with serum electrolyte.Methods Collecting the clinical data of 147 cases for diarrhea children in hospital from 1999.11 to 2000.01,using the Enzyme-Linked Immunosorbent Assay to assess the rotavirus. Results The AG is increased in 28 cases, percentum is 19.05%;the AG is natural in 102 cases, percentum in 69.39%;the AG is reduced in 17 cases,perecntum is 11.56%.The level of AG is increased with the serum Cl ,HCO 3 - reduced, and there is neither any evident relating with serum Na +,K +,Ca ++ ,nor any relating with the character and degree of dehydration.Conclusions The increasing of AG is the actual proof for diarrhea metabolic acidosis.and it's reliable index for the Base supplement.