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对26例急性酒精中毒者并发的代谢紊乱进行分析,结果表明:代谢性酸中毒有很高发生率(76.9%),其它依次为:低血钾(46.2%),有效血容量不足(38.5%),高血糖(33.3%)高血氯(23.1%),高胰淀粉酶血症(15.4%)和低血糖(3.8%)。除1例死于合并症外,上述代谢紊乱主要经液体治疗后恢复。作者建议:对所有伴意识状态改变的急性酒精中毒患者均应重视对机体代谢状态的评估。纠正有效循环血量不足,补充葡萄和维生素类应是代谢紊乱的主要治疗措施。对于无低血糖者,不主张应用高渗糖和利尿剂,以防加重代谢紊乱。少数重症酮症酸中毒者需用胰岛素和碱性液治疗,但应防止过量。
Metabolic disturbance of 26 patients with acute alcohol poisoning was analyzed. The results showed that metabolic acidosis had a high incidence (76.9%), the other followed by hypokalemia (46.2%), effective blood volume (38.5%), hyperglycemia (33.3%), hypercholesterolemia (23.1%), hyperpachyphrycosis (15.4%) and hypoglycemia (3.8%). In addition to one patient died of complications, the main metabolic disorders recovered after treatment with liquid. The authors suggest that all patients with acute alcoholism who have changed their status should pay attention to assessing the metabolic status of the body. To correct the lack of effective circulating blood volume, grape and vitamin supplements should be the main treatment of metabolic disorders. For those without hypoglycemia, do not advocate the application of hypertonic sugar and diuretics, to prevent aggravating metabolic disorders. A small number of severe ketoacidosis need to be treated with insulin and alkaline solution, but should prevent excessive.