妊娠期间的严重代谢性碱中毒
Severe metabolic alkalosis in pregnancy.
作者信息
Frise Charlotte, Noori Muna, Williamson Catherine
机构信息
John Radcliffe Hospital, Oxford University Hospitals NHS Trust.
Queen Charlotte's and Chelsea Hospital, Imperial College Healthcare NHS Trust.
出版信息
Obstet Med. 2013 Sep;6(3):138-140. doi: 10.1258/om.2012.120030. Epub 2013 Jul 23.
Abstract
Metabolic alkalosis is uncommon in pregnancy and is most often the result of severe vomiting. If this is present at the time of delivery, transient metabolic derangement in the fetus can occur, potentially requiring additional organ support. A 22-year-old woman is described, who presented at 37 weeks gestation with a severe metabolic alkalosis, vomiting and acute renal and hepatic impairment. The investigations, management options and maternal and fetal outcome are described.
摘要
代谢性碱中毒在孕期并不常见，最常见的原因是严重呕吐。如果在分娩时出现这种情况，胎儿可能会发生短暂的代谢紊乱，可能需要额外的器官支持。本文描述了一名22岁女性，她在妊娠37周时出现严重代谢性碱中毒、呕吐以及急性肾和肝功能损害。文中介绍了相关检查、处理方法以及母婴结局。
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