病例报告
聚维酮碘消毒与甲状腺功能减退和可能导致长期肾功能衰竭
表3
进化从ICU第0天到的54天血清阴离子间隙和电解质,动脉乳酸,尿碘浓度、阴离子间隙和电解质。
|
| 加护病房的一天 |
血清 |
动脉 |
尿 |
| 阴离子间隙(毫克当量/ L) |
Cl- - - - - -(更易/ L) |
HCO3- - - - - -(更易/ L) |
乳酸(更易/ L) |
碘(毫克/升) |
阴离子间隙(毫克当量/ L) |
Cl- - - - - -(更易/ L) |
K+(更易/ L) |
Na+(更易/ L) |
|
| 参考 |
Sep-20 |
98.0 - -107.0 |
22.0 - -29.0 |
0.5 - -2.2 |
≤100 |
|
|
|
|
| 0 |
30.7 |
101.2 |
14.2 |
8.9 |
|
|
|
|
|
| 1 |
34.7 |
98.7 |
15.7 |
3.6 |
|
|
|
|
|
| 2 |
19.7 |
102.3 |
21.9 |
3.5 |
|
|
|
|
|
| 3 |
18.1 |
102.6 |
21.6 |
2.5 |
|
|
|
|
|
| 4 |
20.4 |
101.9 |
20.5 |
3.6 |
|
|
|
|
|
| 5 |
19.0 |
100.9 |
21.6 |
2.2 |
|
|
|
|
|
| 6 |
17.5 |
102.9 |
22.3 |
1.0 |
|
|
|
|
|
| 7 |
15.5 |
104.6 |
21.6 |
0.8 |
|
|
|
|
|
| 8 |
18.2 |
101.6 |
20.3 |
0.9 |
|
|
|
|
|
| 9 |
20.5 |
96.2 |
22.8 |
0.8 |
|
|
|
|
|
| 10 |
19.9 |
97.0 |
24.1 |
0.9 |
|
|
|
|
|
| 11 |
19.1 |
96.1 |
22.6 |
1.3 |
|
|
|
|
|
| 12 |
20.8 |
96.8 |
18.5 |
0.8 |
|
|
|
|
|
| 13 |
23.8 |
97.0 |
16.2 |
0.8 |
|
|
|
|
|
| 14 |
27.2 |
93.4 |
18.1 |
0.6 |
|
|
|
|
|
| 15 |
33.3 |
88.4 |
21.3 |
0.7 |
|
|
|
|
|
| 16 |
25.5 |
93.5 |
25.1 |
1.0 |
|
|
|
|
|
| 17 |
22.3 |
95.5 |
27.7 |
1.0 |
|
|
|
|
|
| 18 |
23.6 |
91.7 |
29.8 |
0.8 |
|
|
|
|
|
| 19 |
21.0 |
93.3 |
21.5 |
0.8 |
|
|
|
|
|
| 20. |
27.0 |
92.3 |
19.6 |
1.0 |
|
|
|
|
|
| 21 |
28.1 |
88.7 |
22.2 |
1.0 |
|
|
|
|
|
| 22 |
25.2 |
94.2 |
19.7 |
0.7 |
|
|
|
|
|
| 23 |
28.1 |
91.5 |
19.0 |
0.7 |
|
|
|
|
|
| 24 |
23.3 |
99.2 |
17.5 |
0.7 |
|
42.2 |
53 |
28 |
67.2 |
| 25 |
24.1 |
95.4 |
19.9 |
1.0 |
|
|
|
|
|
| 26 |
20.2 |
102.5 |
17.7 |
0.7 |
|
|
|
|
|
| 27 |
20.2 |
98.7 |
21.0 |
0.8 |
|
|
|
|
|
| 28 |
24.0 |
96.6 |
23.7 |
0.7 |
|
|
|
|
|
| 29日 |
21.3 |
101.6 |
19.2 |
1.0 |
> 10000 |
|
|
|
|
| 30. |
22.6 |
102.2 |
24.6 |
1.6 |
|
|
|
|
|
| 31日 |
19.9 |
104.3 |
22.1 |
0.9 |
> 10000 |
40.4 |
54 |
24 |
70.4 |
| 32 |
21.3 |
101.1 |
25.7 |
0.9 |
|
|
|
|
|
| 33 |
22.7 |
102.0 |
28 |
0.8 |
|
|
|
|
|
| 34 |
20.8 |
102.7 |
25.8 |
0.7 |
|
|
|
|
|
| 35 |
21.2 |
109.4 |
21.2 |
0.7 |
|
|
|
|
|
| 36 |
22.2 |
110.8 |
16.7 |
0.8 |
|
|
|
|
|
| 37 |
22.2 |
113.1 |
16.1 |
0.8 |
|
|
|
|
|
| 38 |
15.6 |
123.9 |
16.8 |
|
> 10000 |
|
|
|
|
| 39 |
17.8 |
116.1 |
17.1 |
|
|
|
|
|
|
| 40 |
19.6 |
112.1 |
16.8 |
|
|
|
|
|
|
| 41 |
18.7 |
113.1 |
15.0 |
|
|
|
|
|
|
| 42 |
14.2 |
111.7 |
17.6 |
|
|
|
|
|
|
| 43 |
15.5 |
107.6 |
18.6 |
|
|
|
|
|
|
| 44 |
19.7 |
104.0 |
16.0 |
|
3413年 |
|
|
|
|
| 45 |
19.3 |
104.6 |
17.5 |
|
|
|
|
|
|
| 46 |
15.9 |
105.4 |
18.9 |
|
|
|
|
|
|
| 47 |
17.6 |
105.3 |
19.5 |
|
|
|
|
|
|
| 48 |
21.2 |
98.3 |
18.4 |
|
|
|
|
|
|
| 49 |
22.1 |
98.9 |
19.6 |
|
|
20.4 |
26 |
24 |
22.4 |
| 50 |
18.7 |
102.9 |
21.4 |
|
|
|
|
|
|
| 51 |
16.3 |
101.2 |
24.2 |
|
|
|
|
|
|
| 52 |
16.3 |
99.1 |
26.9 |
|
|
|
|
|
|
| 53 |
15.9 |
102.1 |
25.5 |
|
|
|
|
|
|
| 54 |
16.1 |
103.8 |
23.7 |
|
|
|
|
|
|
|
|