成功救治酒精中毒并发严重乳酸酸中毒1例
Journal of Clinical Medicine in Practice(2013)
Abstract
<正>1病例资料患者,男,42岁,嗜酒20年,近3月来嗜酒量增加,近2日出现腹胀,反复呕吐咖啡色液体伴食物残渣。于2011年10月1日下午5时多突发嗜睡,伴有大汗淋漓、四肢湿冷,遂至本院就诊否认有糖尿病、肝病等内科疾病史。入院时测BP95/59 mmHg,P 103次/分,深大呼吸,腹软,剑突下饱满,有触压不适,无压痛及反跳痛,肠鸣音稍活跃。血常规:WBC 22.5×109/L,Hb 101 g/L血气分析:pH6.9,乳酸1 5 mmol/L,PCO21 2 mmol/L,HCO3-4 mmol/L。快速血糖
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