Hulme J, Sherwood N
Department of Anaesthesia and Critical Care, City Hospital, Dudley Road, Birmingham, B18 7QH, UK.
Anaesthesia. 2004 Dec;59(12):1228-30. doi: 10.1111/j.1365-2044.2004.03962.x.
A 45-year-old alcoholic man presented following several short grand-mal seizures. He was not known to be epileptic. Initial investigations demonstrated a severe lactic acidosis. The rise in lactate was one of the highest levels reported in similar patients. The patient recovered within 4 h of management with oxygen, fluids and sodium bicarbonate. Lactic acidosis following convulsions is often associated with spontaneous resolution and a favourable outcome.
一名45岁的酗酒男子在经历几次癫痫大发作后前来就诊。此前并不知道他患有癫痫。初步检查显示严重乳酸酸中毒。乳酸升高是类似患者中报告的最高水平之一。患者在接受氧气、补液和碳酸氢钠治疗4小时内康复。惊厥后乳酸酸中毒通常会自发缓解且预后良好。
