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哺乳期酮症酸中毒:一种罕见情况及文献综述

Lactation Ketoacidosis: An Unusual Entity and a Review of the Literature.

作者信息

Gleeson Sarah, Mulroy Eoin, Clarke David E

机构信息

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.

出版信息

Perm J. 2016 Spring;20(2):71-3. doi: 10.7812/TPP/15-097. Epub 2016 Feb 22.

Abstract

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.

摘要

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。

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本文引用的文献

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A case of bovine ketoacidosis in a lactating woman.一名哺乳期妇女患牛酮血症的病例。
NDT Plus. 2009 Aug;2(4):278-9. doi: 10.1093/ndtplus/sfp052. Epub 2009 Apr 29.
3
A severe case of iatrogenic lactation ketoacidosis.一例严重的医源性泌乳性酮症酸中毒病例。
BMJ Case Rep. 2012 Mar 8;2012:bcr1220115409. doi: 10.1136/bcr.12.2011.5409.
4
A case of lactation "bovine" ketoacidosis.一例哺乳期“牛型”酮症酸中毒病例。
J Emerg Med. 2008 Nov;35(4):385-7. doi: 10.1016/j.jemermed.2007.04.013. Epub 2007 Sep 17.
5
Alcoholic ketoacidosis.酒精性酮症酸中毒
Emerg Med J. 2006 Jun;23(6):417-20. doi: 10.1136/emj.2004.017590.
7
New aspects of ketone bodies in energy metabolism of dairy cows: a review.奶牛能量代谢中酮体的新进展:综述
Zentralbl Veterinarmed A. 1996 Dec;43(10):579-87. doi: 10.1111/j.1439-0442.1996.tb00491.x.
8
"Bovine ketosis" in a nondiabetic postpartum woman.非糖尿病产后女性的“牛酮血症”
Diabetes Care. 1982 Jan-Feb;5(1):47-9. doi: 10.2337/diacare.5.1.47.

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