The Urine Anion GapA Clinically Useful Index of Ammonium Excretion
作者:
M. GOLDSTEIN,
R. BEAR,
R. RICHARDSON,
P. MARSDEN,
M. HALPERIN,
期刊:
The American Journal of the Medical Sciences
(OVID Available online 1986)
卷期:
Volume 292,
issue 4
页码: 198-202
ISSN:0002-9629
年代: 1986
出版商: OVID
关键词: Acidbase;Net Acid Excretion;Renal Tubular Acid-osis;Metabolis Acidosis
数据来源: OVID
摘要:
In patients with a normal plasma anion gap type of metabolic acidosis, knowledge of the rate of ammonium excretion can provide valuable information to determine if there is a renal cause for the disorder. Unfortunately, few hospital biochemistry laboratories offer routine determination of the urine ammonium concentration. Data are presented that demonstrate a direct linear relationship between the urine anion gap (Na++K+- CI−) and the urine ammonium concentration. In a 24-hour urine collection, the relationship is urine ammonium equals - 0.8 (urine anion gap) + 82 (r = 0.97 p less than 0.01). The applications of this index of ammonium excretion are discussed.
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