Gleeson Sarah, Mulroy Eoin, Clarke David E
Registrar at the Dunedin Hospital in New Zealand.
Consultant in Medicine at the Dunedin Hospital; and an Honorary Clinical Senior Lecturer at the University of Otago School of Medicine in Dunedin, New Zealand; Clinical Assistant Professor of Medicine at Stanford University School of Medicine; and a Hospitalist at the Santa Clara Medical Center in CA.
Perm J. 2016 Spring;20(2):71-3. doi: 10.7812/TPP/15-097. Epub 2016 Feb 22.
A 31-year-old woman presented to the hospital with symptoms of nausea, malaise, and emesis. She was breastfeeding her 10-month-old infant. She was found to have severe ketoacidosis. The patient was not in diabetic ketoacidosis or alcoholic ketoacidosis; nor had she ingested any toxins. After she was admitted to the hospital, received intravenous fluids, and stopped breastfeeding, her symptoms resolved. She was found to have lactation ketoacidosis, an uncommon condition in humans. A review of all causes of ketoacidosis is presented with special emphasis on lactation ketocacidosis.
一名31岁女性因恶心、不适和呕吐症状入院。她正在给10个月大的婴儿哺乳。检查发现她患有严重的酮症酸中毒。该患者并非糖尿病酮症酸中毒或酒精性酮症酸中毒,也未摄入任何毒素。入院后,她接受了静脉补液并停止哺乳,症状随即缓解。结果发现她患的是泌乳性酮症酸中毒,这在人类中是一种罕见病症。本文综述了酮症酸中毒的所有病因,并特别强调了泌乳性酮症酸中毒。