一名哺乳期妇女患牛酮血症的病例。
A case of bovine ketoacidosis in a lactating woman.
作者信息
Sandhu Harminder S, Michelis Michael F, DeVita Maria V
机构信息
Department of Nephrology , Lenox Hill Hospital , New York , USA.
出版信息
NDT Plus. 2009 Aug;2(4):278-9. doi: 10.1093/ndtplus/sfp052. Epub 2009 Apr 29.
Abstract
A 36 year-old 5 weeks postpartum lactating woman presented to the emergency room with severe nausea and vomiting for 48 hours. The patient was found to be in non-diabetic ketoacidosis with a serum pH 6.9 and a HCO3 of <5mEq/L. This condition rapidly improved with the administration of intravenous dextrose and bicarbonate and with the cessation of breast feeding. The course and pathophysiology of the rarely described phenomenon of bovine ketosis in a human is discussed here.
摘要
一名36岁、产后5周的哺乳期妇女因严重恶心和呕吐48小时就诊于急诊室。该患者被诊断为非糖尿病性酮症酸中毒，血清pH值为6.9，碳酸氢根离子浓度<5mEq/L。通过静脉输注葡萄糖和碳酸氢盐以及停止母乳喂养，病情迅速好转。本文讨论了人类中罕见的牛酮血症现象的病程及病理生理学。
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