母乳喂养相关性酮症酸中毒：急诊医生需要识别的一种罕见但重要的诊断。

Breastfeeding ketoacidosis: A rare but important diagnosis for emergency physicians to recognize.

机构信息

Texas A&M CHRISTUS Spohn Emergency Medicine Residency Program, 600 Hospital BLVD. Corpus Christi, TX 78404, United States of America.

出版信息

Am J Emerg Med. 2019 Feb;37(2):374.e1. doi: 10.1016/j.ajem.2018.10.014. Epub 2018 Oct 11.

DOI:10.1016/j.ajem.2018.10.014

PMID:30414745

Abstract

We report a case of lactation ketoacidosis in a 22-year-old female who was breastfeeding two infants while dieting. She appeared non-toxic, but had a serum bicarbonate of 7meq/L, a pH of 7.07, and moderate serum ketones. She responded well to simple carbohydrate replenishment and brief cessation of breastfeeding. Emergency Physicians should be aware of this entity so as to avoid unnecessary morbidity and to begin prompt treatment.

摘要

我们报告了一例哺乳期酮症酸中毒病例，患者为 22 岁女性，在给两个婴儿哺乳的同时节食。她看上去没有中毒症状，但血清碳酸氢盐为 7meq/L，pH 值为 7.07，且有中等程度的血清酮体。她对简单碳水化合物补充和短暂停止母乳喂养反应良好。急诊医生应该了解这种病症，以避免不必要的发病率，并及时开始治疗。