酒精性酮症酸中毒的诊疗进展

酒精性酮症酸中毒（alcoholic ketoacidosis,AKA）是指患者在大量饮酒后发生严重呕吐、中断饮食或其他伴发病,从而引起脱水、酮症酸中毒,属代谢系统急症之一。酒精性酮症酸中毒由美国Dillon等于1940年首次提出。酒精中毒患者中大约有10%表现为酒精性酮症酸中毒,多见于肝病和酗酒者,为慢性酒精中毒死亡的主要原因之一。

Progress in diagnosis and treatment of alcoholic ketoacidosis

Along with the improved living standard of our country residents,acute alcohol poisoning is increasing year by year.Alcoholic ketoacidosis（AKA）is a common metabolic acidosis in emergency department.The clinical symptoms are complicated,and was easily misdiagnosed as diabetic ketoacidosis after checking the ketone body.Clinical doctors should pay attention to the differential diagnosis,ask for details of the history,perfect the relevant medical check.This paper mainly discusses the mechanism,clinical manifestations and treatment progress.