Recovery from ph 6.38: lactic acidosis complicated by hypothermia

被引：26

作者：

Ahmad, S

Beckett, M

机构：

[1] Charing Cross Hosp, Dept Accid & Emergency, London W6 8RF, England

[2] W Middlesex Univ Hosp, London, England

来源：

EMERGENCY MEDICINE JOURNAL | 2002年 / 19卷 / 02期

关键词：

D O I：

10.1136/emj.19.2.169

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Survival after extreme arterial acidosis is uncommon. A case of metformin induced lactic acidosis is described where the presenting pH was 6.38 exacerbated by hypothermia (29°C). Increased anion gap acidosis, its varied aetiology, potential reversibility, and the role of hypothermia are discussed. Early liaison with a medical toxicology unit is recommended when this rare condition is suspected.

引用

页码：169 / 171

页数：3

共 10 条

[1]

*BRIST MYERS SQUIB, 1997, PRESCR INF GLUC

[2]

*CHIR DIAGN CORP, 1998, RAP LAB 800 CRIT CAR

[3] Lactic acidosis in patients with diabetes treated with metformin [J].