Habscheid W, Heidbreder E
Medizinische Universitätsklinik Würzburg.
Dtsch Med Wochenschr. 1988 Dec 23;113(51-52):2007-9. doi: 10.1055/s-2008-1067928.
Several days after not eating anything while drinking heavily a 45-year-old alcoholic developed severe ketoacidosis. He was admitted to hospital in a stable cardiovascular condition, but already in a comatose state with Kussmaul breathing. There was a marked metabolic acidosis (pH 6.8; base deficit -30 mmol/l), the urine was positive for ketone bodies, and serum lactate was 24 mmol/l. There was a marked hypoglycaemia (40 mg/dl). Despite intensive treatment it was not possible to prevent multiple organ failure, of which the patient soon died.
一名45岁的酗酒者在大量饮酒且数日未进食后，出现了严重的酮症酸中毒。他入院时心血管状况稳定，但已处于昏迷状态，伴有库斯莫尔呼吸。存在明显的代谢性酸中毒（pH值6.8；碱缺失-30 mmol/l），尿液酮体呈阳性，血清乳酸为24 mmol/l。存在明显的低血糖（40 mg/dl）。尽管进行了强化治疗，但仍无法预防多器官功能衰竭，患者不久后死亡。
