nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg searchdiv qikanlogo popupnotification paper
2025 01 v.19 15-18
酒精性酮症酸中毒合并低血糖1例
基金项目(Foundation):
邮箱(Email):
DOI: 10.20256/j.cnki.zgdxbl.20250303.016
中文作者单位:

西安交通大学第二附属医院重症医学科;

摘要(Abstract):

酒精性酮症酸中毒(alcoholic ketoacidosis,AKA)是指患者因饮酒而发生的代谢性酸中毒和酮症。酒精中毒患者中大约有10%表现为酒精性酮症酸中毒,多见于肝病和酗酒者,为慢性酒精中毒死亡的主要原因之一。很多医生不熟悉酒精性酮症酸中毒,易误诊为糖尿病酮症酸中毒,若一味使用胰岛素,出现低血糖昏迷,则使病情更为凶险。本文报道1例酒精性酮症酸中毒合并低血糖,旨在提高对本病的认识,减少误诊和漏诊。

关键词(KeyWords): 酒精性酮症;酸中毒;低血糖;意识障碍
参考文献

[1] Sidlak A M,Trautman W J,Lynch M J,et al. Alcoholic ketoacidosis:review of current practice and association of treatments to improvement[J]. American Journal of Therapeutics,2022(29):481-483.

[2] Rudler M,Weiss N,Bouzbib C,et al. Diagnosis and management of hepatic encephalopathy[J]. Clinics in Liver Disease,2021(25):393-417.

[3] Greco P,Nencini G,Piva I,et al. Pathophysiology of hypoxic-ischemic encephalopathy:a review of the past and a view on the future[J]. Acta Neurologica Belgica,2020(120):277-288.

[4] Jangjou A,Moqadas M,Mohsenian L,et al. Awareness raising and dealing with methanol poisoning based on effective strategies[J]. Environmental Research,2023(228):115886-115889.

[5] Heuft L,Voigt J,Selig L,et al. Refeeding syndrome[J].Deutsches Arzteblatt International,2023(120):107-114.

[6] Kraut J A,Madias N E. Lactic acidosis[J]. The New England Journal of Medicine,2014(371):2309-2319.

[7] Cashen K,Petersen T. Diabetic ketoacidosis[J]. Pediatrics in Review,2019(40):412-420.

[8] Palmer B F,Clegg D J. Starvation ketosis and the kidney[J].American Journal of Nephrology,2021(52):467-478.

[9] Koyama K,Anno T,Kimura Y,et al. Pathology of ketoacidosis in emergency of diabetic Ketoacidosis and alcoholic ketoacidosis:a retrospective study[J]. Journal of Diabetes Research,2024(2024):8889415-8889423.

[10] Paquot N. The metabolism of alcohol[J]. Revue Medicale de Liege,2019(74):265-267.

[11] Rachdaoui N,Sarkar D K. Pathophysiology of the effects of alcohol abuse on the endocrine system[J]. Alcohol Research:Current Reviews,2017(38):255-276.

[12] Jain H,Beriwal S,Singh S. Alcohol induced ketoacidosis,severe hypoglycemia and irreversible encephalopathy[J].Medical Science Monitor:International Medical Journal of Experimental and Clinical Research,2002(8):Cs 77-79.

[13] Agra Montava I,Mateo Roca M,López Matas M. Alcoholic ketoacidosis as a cause of metabolic acidosis[J]. Medicina Clinica,2022(158):393-402.

[14] Long B,Lentz S,Gottlieb M. Alcoholic ketoacidosis:etiologies, evaluation, and management[J]. The Journal of Emergency Medicine,2021(61):658-665.

基本信息:

DOI:10.20256/j.cnki.zgdxbl.20250303.016

中图分类号:R595.6;R587.3

引用信息:

[1]张小玲,高文艺,张静静等.酒精性酮症酸中毒合并低血糖1例[J].中国典型病例大全,2025,19(01):15-18.DOI:10.20256/j.cnki.zgdxbl.20250303.016.

基金信息:

检 索 高级检索

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文