Clinical Application of Anion Gap during and after Open Heart Surgery
- VernacularTitle:阴离子隙在心内直视手术中的应用
- Author:
Jin PAN
- Publication Type:Journal Article
- Keywords:
Anion gap;
Cardio-pulmonary bypass;
Alkalosis;
Acidosis;
Lactate
- From:Journal of Third Military Medical University
1984;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
The parameters of 797 measurements of electrolytes and blood gases in 191 patients during and after open heart surgery under cardio-pulmonary bypass were studied. It was found that both the anion gap (AG) and lactate levels were markedly elevated in the patients than in the normal controls. It is well known that increased plasma lactate due to hvpoxia is one of the main factors to result in anion gap acidosis, and the therapeutic measures should be directed to increase tissue oxygen supply rather than administer alkali, which will be liable to induce alkalosis. Therefore, it is suggested that concomitant determinations of AG and blood gases bo valuable and helpful to the management of the postoperative cases of open heart surgery.
