L'acidocétose alcoolique: une cause d'acidose métabolique pas si rare que ça.. [Alcoholic ketoacidosis: not rare cause of metabolic acidosis]

Détails

ID Serval
serval:BIB_36975
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
L'acidocétose alcoolique: une cause d'acidose métabolique pas si rare que ça.. [Alcoholic ketoacidosis: not rare cause of metabolic acidosis]
Périodique
Revue Médicale Suisse
Auteur(s)
Sibaï K., Eggimann P.
ISSN
1660-9379
Statut éditorial
Publié
Date de publication
2005
Volume
1
Numéro
32
Pages
2106, 2108-10, 2112-2115
Langue
français
Résumé
Alcoholic ketoacidosis is an often overlooked disorder, which affects chronic ethanol abusers who have usually had a binge culminating in severe vomiting with resulting hypovolemia, acute starvation and then a beta-hydroxybutyrate dominated ketoacidosis (due to the conjonction of enhanced Glucagon/Insuline and NADH/NAD ratios). Although the pathophysiology is complex, the syndrome is quickly reversible with the administration of saline and glucose solutions along with the correction of electrolyte disturbances, often unmasked during the treatment. Insuline and bicarbonates are not indicated. The prognosis, which is excellent, depends mainly on the coexisting acute disorders, which should be purchased and treated appropriately.
Mots-clé
Acidosis/diagnosis, Acidosis/etiology, Alcoholism/complications, Diagnosis, Differential, Humans, Ketosis/diagnosis, Ketosis/etiology
Pubmed
Création de la notice
19/11/2007 13:35
Dernière modification de la notice
20/08/2019 14:24
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