Burbos Nikolaos, Shiner Alice M, Morris Edward
Department of Obstetrics and Gynaecology, Norfolk and Norwich University Hospital, Norwich NR4 7UY, UK.
Arch Gynecol Obstet. 2009 Mar;279(3):399-400. doi: 10.1007/s00404-008-0715-3. Epub 2008 Jul 1.
Ketoacidosis is most often due to uncontrolled diabetes mellitus. Similar metabolic changes can occur with poor dietary intake of carbohydrates or prolonged fasting. Metabolic acidosis due to prolonged fasting is rarely described in the literature. We report a case of severe metabolic acidosis as a result of prolonged fasting in pregnancy.
酮症酸中毒最常见于糖尿病控制不佳。碳水化合物摄入不足或长期禁食也可能发生类似的代谢变化。文献中很少描述因长期禁食导致的代谢性酸中毒。我们报告一例妊娠期间因长期禁食导致严重代谢性酸中毒的病例。