Alcoholic Ketoacidosis Associated with Multiple Complications : Report of 3 Cases
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概要
- 論文の詳細を見る
We report 3 patients with alcoholic ketoacidosis (AKA). All had a history of excessive intake and abrupt termination of alcohol. They showed tachypnea, tachycardia, abdominal tenderness, and epigastralgia. Metabolic acidosis with an increased anion gap, decreased PaCO2 and ketonemia were present. One patient whose ratio of 3-hydroxybutyric acid to acetoacetic acid was 4.0 was associated with diabetic ketoacidosis. All patients were successfully hydrated with electrolyte, glucose and thiamine. Complications such as liver dysfunction, lactic acidosis, acute pancreatitis, Wernickes encephalopathy, rhabdomyolysis and heart failure were present. Attention should be paid to multiple complications in the treatment of AKA.
- 社団法人 日本内科学会の論文
- 2004-10-01
著者
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MIYAZAKI Yasushi
Department of Hematology, Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki Universit
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TANAKA Masami
Department of Internal Medicine, Misato Kenwa Hospital
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MATSUYAMA Kimihiko
Department of Internal Medicine, Misato Kenwa Hospital
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Miyazaki Yasushi
The Department Of Internal Medicine Misato Kenwa Hospital
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Miyazaki Yasushi
Department Of Hematology And Molecular Medicine Unit Atomic Bomb Disease Institute Nagasaki Universi
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Matsuyama Kimihiko
The Department Of Internal Medicine Misato Kenwa Hospital
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Matsuyama Kimihiko
Department Of Internal Medicine Misato Kenwa Hospital
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ISHIKAWA Shinsuke
Department of Internal Medicine, Misato Kenwa Hospital
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Ishikawa Shinsuke
The Department Of Internal Medicine Misato Kenwa Hospital
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Tanaka Masami
Department Of Applied Chemistry College Of Engineering University Of Osaka Prefecture
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Miyazaki Yasushi
Department of Internal Medicine, Misato Kenwa Hospital
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