Proportion, Etiology, and clinical features in patients with anion gap based metabolic acidosis

Pham Van Thang

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Tóm tắt

Objectives: Determine the rate, cause and clinical characteristics of metabolic acidosis
according to the Anion gap (AG) of the patient in the intensive care unit of the Vietnam
National Children’s Hospital. Subjects and methods: This prospective descriptive study included
168 patients diagnosed with metabolic acidosis in Intensive Care Unit of Vietnam National
Children’s Hospital from 7/2019 to 7/2020. Result: The number of patients with metabolic
acidosis increased Anion gap was 127/168, accounting for 76%. The most common cause of
patients with metabolic acidosis is shock, especially septic shock and metabolic disorders.
For most groups of causes, the Anion gap usually ranges from 12-20. Symptoms of coma and
respiratory failure to support mechanical ventilation remained high, especially in the AG group.
The most common group of patients with increased acid production. Conclusion: The rate of
patients with metabolic acidosis with increased Anion gap is majority. Relying on the Anion gap
and the clinical symptoms may help determine the cause of the disease.

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