糖尿病酮症酸中毒合并使用摇头丸：一例报告
Diabetic ketoacidosis complicated by the use of ecstasy: a case report.
作者信息
Gama Mirnaluci Paulino Ribeiro, de Souza Bárbara Vicente, Ossowski Ana Carolina, Perraro Rafaela Cristina
机构信息
Rua Eusébio de Queirós, 287; AP 403, CEP:89203-100 Joinville-SC, Brasil.
出版信息
J Med Case Rep. 2010 Aug 3;4:240. doi: 10.1186/1752-1947-4-240.
INTRODUCTION
Ecstasy (3,4-methylenedioxymethamphetamin), a hallucinogenic amphetamine, is often used by young people, especially at 'raves'. This illicit drug can cause many metabolic changes and its use, when associated with prolonged exercise, may exacerbate ketoacidosis in type 1 diabetic patients.
CASE PRESENTATION
This is a case of ketoacidosis complicated by the use of ecstasy in a 19-year-old insulin-dependent diabetic Caucasian woman.
CONCLUSION
The use of ecstasy may trigger diabetic ketoacidosis in patients with a preexisting metabolic disorder.
引言
摇头丸（3,4 - 亚甲基二氧甲基苯丙胺），一种致幻性苯丙胺，常被年轻人使用，尤其是在“锐舞派对”上。这种非法药物会引起许多代谢变化，并且在与长时间运动相关联时，其使用可能会使1型糖尿病患者的酮症酸中毒加重。
病例报告
这是一例19岁依赖胰岛素的白种糖尿病女性因使用摇头丸而并发酮症酸中毒的病例。
结论
摇头丸的使用可能会在已有代谢紊乱的患者中引发糖尿病酮症酸中毒。
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