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脂肪酸氧化亢进时,肝脏就产生乙酰乙酸(AcAc)和羟基酪酸(3-OHB)并扩散到血中;部分AcAc 自动脱碳酸变为丙酮随呼气呼出;这些物质总称酮体。酮体在血和尿中超过正常值时,分别称为酮血症和酮尿症,也统称为酮症。酮体是强酸,由于它的蓄积将使血硷减少,常为糖尿病患者的死因。本文通过作者的研究来阐明糖尿病酮症的发病机理和恶化因素。一、正常人和糖尿病患者血中酮体值绝对或相对缺乏胰岛素的糖尿病患者,体内热量平衡障碍,同化作用停止异化作用亢进。肝内糖再生及糖原分解亢进;肌肉组织
Acceleration of fatty acid oxidation, the liver produces acetoacetate (AcAc) and hydroxy butyric acid (3-OHB) and spread to the blood; part of the AcAc decarboxylation into acetone with exhaled expired; these substances collectively ketone body. Ketone body in the blood and urine more than normal, were referred to as ketosis and ketorrhea, also collectively referred to as ketosis. Ketone body is a strong acid, because of its accumulation will reduce the blood alkaline, often diabetic patients cause of death. This article through the author’s study to clarify the pathogenesis of diabetic ketosis and deterioration of the factors. First, the normal and diabetic patients with blood ketone body absolute or relative lack of insulin in patients with diabetes, body heat balance disorders, the role of assimilation to stop alienation hyperthyroidism. Liver regeneration and glycogenosis hyperthyroidism; muscle tissue