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一名糖尿病酮症酸中毒患者因一种草药制剂而加重了严重高钠血症和高渗状态。

Severe hypernatremia and hyperosmolality exacerbated by an herbal preparation in a patient with diabetic ketoacidosis.

作者信息

Bhowmick Samar K, Hundley Olivette T, Rettig Kenneth R

机构信息

Division of Pediatric Endocrinology, University of South Alabama Medical Center, Mobile, Alabama 36617-2297, USA.

出版信息

Clin Pediatr (Phila). 2007 Nov;46(9):831-4. doi: 10.1177/0009922807303042. Epub 2007 Jun 21.

Abstract

This article reports a case of severe reversible hypernatremia exacerbated by an herbal agent "goldenseal" (Hydrastis canadensis) in an 11-year-old girl with new onset type I diabetes mellitus presented with diabetic ketoacidosis. A literature review is presented and possible mechanism of hypernatremia caused by this herbal preparation is discussed.

摘要

本文报道了一例11岁新诊断为Ⅰ型糖尿病并伴有糖尿病酮症酸中毒的女孩,因服用草药“白毛茛”(北美黄连)而加重的严重可逆性高钠血症病例。本文还进行了文献综述,并讨论了这种草药制剂引起高钠血症的可能机制。

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