摘要
报道1例我院收治的二甲双胍相关性乳酸酸中毒患者的诊治过程。患者女性,84岁,既往无慢性肾脏病病史,长期口服中等剂量二甲双胍治疗糖尿病,因呕吐腹泻症状后出现意识欠清就诊,考虑乳酸酸中毒,经及时持续静脉-静脉血液滤过等治疗后病情好转。提示临床医生应严格掌控二甲双胍的适应证及禁忌证,尤其老年患者需严密监测血乳酸水平。
We reported a case of metformin-associated lactic acidosis in our hospital.An 84-yearold female diabetes patient,without history of chronic kidney disease,treated with moderate-dose of metformin,was admitted with the onset of vomiting,diarrhea followed with lack of consciousness and diagnosed with lactic acidosis.The patient was recovered after timely treatment of continuous veno-venous hemofiltration.When treating patients with metformin,clinician should pay attention to the indications and contraindications and monitor patients＇ lactic acid values,particularly in elderly diabetic patients.
作者
王妍
顾天伟
计成
王维敏
沈山梅
毕艳
WANG Yan;GU Tianwei;JI Cheng(Department of Endocrinology, Nanjing Drum Tower Hospital Affiliated to Medical ScAool of Nanjing University, Nanjing 210029, China)
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2018年第5期423-426,共4页
Chinese Journal of Diabetes
基金
国家自然科学基金青年项目(81500612)
