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与极低碳水化合物饮食开始相关的严重阴离子间隙代谢性酸中毒。

Severe anion gap metabolic acidosis associated with initiation of a very low-carbohydrate diet.

作者信息

Basnet Sijan, Tachamo Niranjan, Nazir Salik, Dhital Rashmi, Jehangir Asad, Donato Anthony

机构信息

Department of Medicine, Reading Hospital, West Reading, PA, USA.

出版信息

J Community Hosp Intern Med Perspect. 2019 Apr 12;9(2):165-167. doi: 10.1080/20009666.2019.1583534. eCollection 2019 Apr.

DOI:10.1080/20009666.2019.1583534
PMID:31044050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6484640/
Abstract

Low carbohydrate diets have been popularized as an effective solution for weight loss. Although rare, life-threatening anion gap metabolic acidosis has been reported in patients on these diets. We present a case of a 31-year-old man with atypical symptoms of chest pain and shortness of breath found to have severe metabolic acidosis after starting low carbohydrate diet for a week.

摘要

低碳水化合物饮食已作为一种有效的减肥方法而流行起来。尽管罕见,但这些饮食的患者中已报告有危及生命的阴离子间隙代谢性酸中毒。我们报告一例31岁男性病例,该患者在开始低碳水化合物饮食一周后出现胸痛和呼吸急促等非典型症状,被发现患有严重的代谢性酸中毒。

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