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高酮血症状态的鉴别诊断与治疗

Differential diagnosis and therapy of hyperketonemic state.

作者信息

Schade D S, Eaton R P

出版信息

JAMA. 1979 May 11;241(19):2064-5.

PMID:107340
Abstract

Detection of ketone bodies in the urine or plasma may be used as a rapid, inexpensive diagnostic approach. Understanding the causes of hyperketonemia can lead to identification and appropriate therapy for the underlying cause. At least one urinary ketone measurement should be a routine procedure in all severely ill patients in whom a complete understanding of the underlying pathological processes is not present.

摘要

检测尿液或血浆中的酮体可用作一种快速、廉价的诊断方法。了解高酮血症的病因有助于识别潜在病因并进行适当治疗。对于所有病因未完全明确的重症患者,至少进行一次尿酮检测应成为常规操作。

相似文献

1
Differential diagnosis and therapy of hyperketonemic state.高酮血症状态的鉴别诊断与治疗
JAMA. 1979 May 11;241(19):2064-5.
2
Metabolic and clinical significance of ketosis.酮症的代谢及临床意义。
Spec Top Endocrinol Metab. 1982;4:1-27.
3
Differences in metabolic and hormonal milieu in diabetic- and alcohol-induced ketoacidosis.糖尿病和酒精性酮症酸中毒中代谢和激素环境的差异。
J Crit Care. 2000 Jun;15(2):52-9. doi: 10.1053/jcrc.2000.7900.
4
[Diabetic ketoacidosis versus alcoholic ketoacidosis].
Ugeskr Laeger. 2004 Oct 18;166(43):3845; author reply 3845-6.
5
[Alcoholic ketoacidosis. An important differential diagnosis from diabetic ketoacidosis].[酒精性酮症酸中毒。与糖尿病酮症酸中毒的重要鉴别诊断]
Dtsch Med Wochenschr. 1988 May 6;113(18):725-7. doi: 10.1055/s-2008-1067710.
6
[Physiolopathologic aspects of diabetic ketosis and the ketosis of fasting].[糖尿病酮症和饥饿性酮症的生理病理学方面]
Journ Annu Diabetol Hotel Dieu. 1976 May:21-33.
7
[Alcoholic ketoacidosis. One case (author's transl)].[酒精性酮症酸中毒。1例报告(作者译)]
Nouv Presse Med. 1979 Feb 17;8(8):585-8.
8
Point of care blood ketone testing of diabetic patients in the emergency department.急诊科糖尿病患者的即时血酮检测
Endocr Res. 2004 Aug;30(3):395-402. doi: 10.1081/erc-200035231.
9
Eu- or hypoglycemic ketosis and ketoacidosis in children: a review.儿童的 eu- 或低血糖性酮症和酮酸中毒:综述。
Pediatr Nephrol. 2024 Apr;39(4):1033-1040. doi: 10.1007/s00467-023-06115-5. Epub 2023 Aug 16.
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Diabetic ketoacidosis.糖尿病酮症酸中毒
Emerg Med Clin North Am. 2005 Aug;23(3):609-28, vii. doi: 10.1016/j.emc.2005.03.009.

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1
Circulating ketone bodies and mortality in heart failure: a community cohort study.循环酮体与心力衰竭死亡率:一项社区队列研究。
Front Cardiovasc Med. 2024 Jan 24;11:1293901. doi: 10.3389/fcvm.2024.1293901. eCollection 2024.
2
Ketone Bodies Are Mildly Elevated in Subjects with Type 2 Diabetes Mellitus and Are Inversely Associated with Insulin Resistance as Measured by the Lipoprotein Insulin Resistance Index.在2型糖尿病患者中,酮体轻度升高,并且与通过脂蛋白胰岛素抵抗指数测量的胰岛素抵抗呈负相关。
J Clin Med. 2020 Jan 23;9(2):321. doi: 10.3390/jcm9020321.
3
Prevalence of ketosis, ketonuria, and ketoacidosis during liberal glycemic control in critically ill patients with diabetes: an observational study.
糖尿病重症患者宽松血糖控制期间酮症、酮尿症和酮症酸中毒的患病率:一项观察性研究
Crit Care. 2016 Sep 15;20:297. doi: 10.1186/s13054-016-1462-7.
4
Ketoalkalosis as a result of triple derangement of acid-base equilibrium in a diabetic patient.糖尿病患者酸碱平衡三重紊乱导致的酮症碱中毒。
Acta Diabetol Lat. 1985 Jan-Mar;22(1):73-7. doi: 10.1007/BF02591095.