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血乳酸检测广泛应用于临床工作中,尤其是危重症患者,但不同检测仪器采用不同方法测定的浓度有所不同,其中可能存在干扰,两者的浓度差值称为乳酸间隙。本病例高度怀疑乙二醇(汽车防冻液)中毒致高乳酸间隙。现报道如下。1病例资料患者,女,56岁。因双下肢无力、不能站立伴烦躁5h于2015年12月14日晚21∶00就诊。查体:P 58次/分,R 20次/分,BP 150/80mm Hg(1mm Hg=0.133k Pa),Sp O20.95,浅昏迷,
Blood lactate test is widely used in clinical work, especially critically ill patients, but different test instruments using different methods to determine the concentration of different, of which there may be interference, the difference between the two is called lactic acid gap. This case is highly suspected glycol (car antifreeze) poisoning caused by high lactic acid gap. Report as follows now. 1 case information patients, female, 56 years old. Due to weakness of both lower extremities, can not stand with irritability 5h at 21 o’clock on the evening of December 14, 2015 treatment. Examination: P 58 beats / min, R 20 beats / min, BP 150/80 mm Hg (1 mm Hg = 0.133 k Pa), Sp O 20.95, light coma,