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饮酒时搭配(大量)一撮盐:理解“啤酒狂饮性低钠血症”和“饥饿性低钠血症”中的渗透分子。

Taking alcohol with a (large) pinch of salt: Understanding the osmoles in "beer potomania" and "starvation potomania".

作者信息

Imam T H

机构信息

Department of Nephrology, Kaiser Permanente, 9961 Sierra Ave, Fontana, CA 92335, USA.

出版信息

Indian J Nephrol. 2014 Jul;24(4):203-5. doi: 10.4103/0971-4065.133041.

Abstract

Alcoholism is a major problem globally and beer drinking is on the rise. Many of the alcoholics sustain only on beer for days and do not get adequate solutes in the form of food. Similar situation can arise in cases of decreased food intake due to severe deliberate restriction or other factors like decreased appetite from cocaine. In these cases, salt free liquid intake may still be adequate. Such situations are conducive to the development of hyponatremia. Some of the solutes in diet, such as salt and protein, act as osmoles in urine. In these conditions, understanding the role played by solutes in diet and osmoles in urine is of vital importance for appropriate treatment of hyponatremia.

摘要

酗酒是一个全球性的主要问题,而且啤酒的消费量正在上升。许多酗酒者连续数天只靠啤酒维持,无法从食物中获取足够的溶质。在因严重的刻意节食或其他因素(如可卡因导致的食欲下降)而食物摄入量减少的情况下,也可能出现类似情况。在这些情况下,无盐液体的摄入量可能仍然充足。这种情况有利于低钠血症的发展。饮食中的一些溶质,如盐和蛋白质,在尿液中起到渗透溶质的作用。在这些情况下,了解饮食中的溶质和尿液中的渗透溶质所起的作用对于低钠血症的恰当治疗至关重要。

相似文献

4
[Beer potomania].[啤酒性低钠血症]
Harefuah. 2004 Jan;143(1):12-3, 87.
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Beer potomania: a case report.啤酒狂饮综合征:一例报告
BMJ Case Rep. 2010 Apr 29;2010:bcr10.2009.2414. doi: 10.1136/bcr.10.2009.2414.

本文引用的文献

1
Alcohol use in adults.成年人饮酒情况
N Engl J Med. 2013 Apr 25;368(17):1655-6. doi: 10.1056/NEJMc1302445.
3
Impact of solute intake on urine flow and water excretion.溶质摄入对尿流和水排泄的影响。
J Am Soc Nephrol. 2008 Jun;19(6):1076-8. doi: 10.1681/ASN.2007091042. Epub 2008 Mar 12.
5
The diuretic action of alcohol in man.酒精对人体的利尿作用。
J Physiol. 1942 Aug 18;101(2):172-91. doi: 10.1113/jphysiol.1942.sp003973.

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