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高酮血症分四个类型,只有准确地掌握其鉴别和诊断,才能给患者以及时治疗。人为的高酮血症:是指硝基钠盐虽反应阳性,但血浆内酮体总量减少,多见于糖尿病酮症酸中毒经适当治疗后的患者(因硝基钠盐主要反应乙酰乙酸的量,当患者接受胰岛素与碳酸氢钠治疗后,β—羟丁酸形成乙酰乙酸增加,但乙酰乙酸很快由组织代谢)。如果连续测定患者的动脉血pH值,可证实pH值逐渐上升。此类型的高酮血症是临床造成的,一般不进行治疗。
Hyperkerelia divided into four types, only accurately grasp their identification and diagnosis, in order to give patients timely treatment. Artificial hyperkalemia: refers to the reaction of the positive sodium nitroprusside, but the total plasma ketone body decreased, more common in patients with diabetic ketoacidosis after appropriate treatment (due to nitro sodium salt of acetoacetate The amount of β-hydroxybutyric acid is increased by acetoacetate when the patient is treated with insulin and sodium bicarbonate, but acetoacetate is rapidly metabolized by the tissue. If the patient’s arterial blood pH value is continuously measured, the pH value may be confirmed to gradually increase. This type of hyperkalemia is clinically caused, generally not treated.