关于流行性出血热阴离子隙的研究——Ⅳ阴离子隙与尿量、血钠的同步变化在估计EHF预后中的意义探讨

Studies on Anion Gap of Epidemic Hemorrhagic Fever——Ⅳ.The significance of simultaneous changes in anion gap,urine volume and serum concentration of Na^+ on the estimations of EHF prognosis

通过对97例 EHF 患者的预后与住院期间的 AG 变化的关系的进一步探讨,本文发现高AG 型病死者血清 Na^+显著低于高 AG 型存活者,且前者伴少尿率显著高于后者(P<0.01).EHF高 AG 型、高 AG 型伴少尿、高 AG 型伴少尿及低钠血症患者的病死率分别为:26.19％、60.00％85.71％,病死的相对危险度为14.4、47.2、72.6,均呈进行性增高趋势.故认为,以 AG 与尿量及血清钠浓度的同步变化作 EHF 预后估计的方法既简单实用又准确率高(可达85.71％).

The relationship between the changes of anion gap(AG)and prognoses of 97 patients with EHF was further sttrveyed in this paper,It was found that serum concentration of Na^+was significantly lower in patients dead of this disease subsequently than in those alives when their AG was over 16 mmol/L. And oligttria appearance rate of the latter was much less than that of the former(P<0.01.)The fatality rate of EHF patients with high AG,high AG with oliguria,and high AG with oliguria and hyponatremia,was 26.19%,60.00%, and 85.71% respectively.And their relative fatality was 14.4,47.2 and 72.6 respectively.So,it has been concluded that EHF prognoses according to their simultaneous changes of AG,urine volume and serum concentration of Na^+ are accurate and available.