血氨检测在非肝源性危急重症患者中应用价值探讨  

Application value of blood ammonia testing in emergency and severe patients with non-hepatic disease

作　　者：张友来[1] 邓如非 邹立津[1] 辛国华[1] 曾元临[1] 

机构地区：[1]南昌大学第一附属医院烧伤中心,江西南昌330006

出　　处：《医学争鸣》2017年第6期43-45,共3页Negative

摘　　要：血氨是人体内氨基酸代谢的主要产物,肝脏是氨的主要代谢场所,肝源性疾病导致的肝脏损害可引起血氨浓度升高,但一些非肝源性疾病也可出现血氨浓度升高现象。高血氨症对人体的危害很大。目前在非肝源性危急重症患者的治疗中,血氨检测应用的不多,对于血氨检测在非肝源性危重症患者治疗中应用价值有待进一步研究。本文根据血氨的代谢、危害及检测意义等方面探讨非肝源性危急重症患者的血氨检测的应用价值,为非肝源性危急重症患者出现高血氨症的预防和治疗提供新的思路。Blood ammonia is the main metabolism product of amino acid in the body. The liver is the main organ of ammonia metabolism. Liver damage resulted from hepatic diseases can cause the increase of blood ammonia concentration, but the blood ammonia rising also appears in some non-liver source disease. Elevated blood ammonia does great harm to the body. Currently, blood ammonia detection is scarcely applied in the treatment of emergency and severe patients with non-hepatic disease. Its application value needs to be further studied. In this paper, we discussed the metabolism, harm and detection significance of blood ammonia to explore the value of blood ammonia testing in the treatment of emergency and severe patients with non-hepatic disease. We hope to provide a new way of thinking for the prevention and treatment of hyperammonemia in the emergency and severe patients with non-hepatic disease.

关 键 词：血氨 高血氨症 危急重症患者 特重度烧伤 

分 类 号：R2[医药卫生—中医学]