A CASE OF LACTATION "BOVINE" KETOACIDOSIS

被引：13

作者：

Heffner, Alan C. ^{[1
]}

Johnson, David P. ^{[2
]}

机构：

[1] Univ Pittsburgh, Med Ctr, Dept Crit Care Med, Pittsburgh, PA USA

[2] USN, Med Ctr Portsmouth, Dept Emergency Med, Portsmouth, VA USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2008年 / 35卷 / 04期

基金：

美国国家卫生研究院;

关键词：

ketosis; bovine; pregnancy; postpartum; starvation;

D O I：

10.1016/j.jemermed.2007.04.013

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 35-year-old postpartum lactating woman presented with dyspnea and was found to be in non-diabetic ketoacidosis (pH 7.24, HCO3 10 mmol/L, urine ketones >80 mg/dL). Rapid clinical and laboratory resolution occurred after intravenous dextrose and enteral feeding along with discontinuation of lactation. This represents a rarely reported case of lactation "bovine" ketoacidosis in humans. We review the historical precedence for the diagnosis and detail the underlying physiology. (C) 2008 Elsevier Inc.

引用

页码：385 / 387

页数：3

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