网红“快乐小赵”去世,他曾确诊的酮症酸中毒是种什么病?
<div class="wx_rich_media_content" id="jsWxContainer"><section style='text-align: center; margin-left: 16px; margin-right: 16px;'><br></section><section style='text-align: center; margin-left: 16px; margin-right: 16px;'><br></section><p style='text-align: justify; margin-left: 32px; margin-right: 32px;'><strong style='font-family: 宋体; color: rgb(122, 68, 66); font-size: 15px; letter-spacing: 0.034em;'><span style='text-align: left; outline: 0px; letter-spacing: 0.544px;'>日前,29岁的网红“快乐小赵”离世,他的同事告诉媒体死因或是酮中毒。11月20日,其一位好友向新京报记者表示,小赵的遗体已经火化,死亡原因与酮症酸中毒有一定关系。医生介绍,酮症酸中毒诱因多样,但糖尿病群体的发病率相对较高,救治不及时会出现致死情况。对糖尿病人而言,规范服药和定期监测十分重要。</span></strong></p><p style='text-align: justify; margin-left: 32px; margin-right: 32px;'><strong style='font-family: 宋体; color: rgb(122, 68, 66); font-size: 15px; letter-spacing: 0.034em;'><span style='text-align: left; outline: 0px; letter-spacing: 0.544px;'><br></span></strong></p><section style='margin-right: 16px; margin-left: 16px; outline: 0px; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); line-height: normal;'><span class="wxart_image" wx-style='display:inline-block;letter-spacing: 0.544px;font-size: var(--articleFontsize);width: 100%;height: auto;'></span><span style='letter-spacing: normal;'><strong style='color: rgb(136, 136, 136);font-size: 12px;letter-spacing: 0.034em;'>网友们在小赵的视频评论区怀念他。网络截图</strong></span></section><p style='text-align: justify; margin-left: 32px; margin-right: 32px;'><br></p><p style='margin-right: 16px; margin-left: 16px; outline: 0px; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0);'><span style='outline: 0px; color: rgb(51, 51, 51); font-size: 15px;'><br></span></p><section style='outline: currentcolor none 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; text-align: right; margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><span style='font-size: 12px;'><strong><span style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; box-sizing: border-box !important;'>文</span></strong></span><strong style='letter-spacing: 0.544px;font-size: 12px;'><span style='outline: 0px; letter-spacing: 0.544px;'>丨新京报</span></strong><strong style='letter-spacing: 0.544px;font-size: 12px;'><span style='outline: 0px; letter-spacing: 0.544px;'>记者 罗艳</span></strong><span style='font-size: 12px;'><strong><span style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; display: none; line-height: 0px; box-sizing: border-box !important;'></span></strong></span></section><section style='outline: currentcolor none 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; text-align: right; margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><strong style='letter-spacing: 0.544px;font-size: 12px;'><span style='outline: 0px; letter-spacing: 0.544px;'>编</span></strong><strong style='letter-spacing: 0.544px;font-size: 12px;'><span style='outline: 0px; letter-spacing: 0.544px;'>辑丨胡杰</span></strong></section><section style='outline: currentcolor none 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; text-align: right; margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><strong style='letter-spacing: 0.544px;font-size: 12px;'><span style='outline: 0px; letter-spacing: 0.544px; display: none; line-height: 0px;'></span></strong></section><section style='outline: currentcolor none 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; text-align: right; margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><strong style='letter-spacing: 0.544px;font-size: 12px;'><span style='outline: 0px; letter-spacing: 0.544px;'> 校对丨吴兴发</span></strong></section><section style='outline: currentcolor none 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><br></section><section style='outline: currentcolor none 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><br></section><section style='outline: currentcolor none 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; caret-color: rgba(0, 0, 0, 0.9); color: rgba(0, 0, 0, 0.9); font-size: 12px; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; caret-color: rgb(34, 34, 34); color: rgb(34, 34, 34); visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; 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letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 13px; font-family: FangSong; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;'>本文</span><span style='outline: 0px; max-width: 100%; font-family: FangSong; letter-spacing: 0.544px; caret-color: rgb(217, 33, 66); font-size: 15px; color: rgb(217, 33, 66); visibility: visible; box-sizing: border-box !important;'>4168</span></strong></span></strong></span></strong></strong></span></strong></span></strong></span></strong></strong></span></strong></strong></strong><strong style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: medium; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-family: FangSong; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; text-indent: 28px; widows: 1; font-family: 宋体; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; 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max-width: 100%; letter-spacing: 0.544px; text-indent: 28px; widows: 1; font-family: 宋体; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-family: FangSong; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: currentcolor none 0px; max-width: 100%; font-size: 13px; font-family: FangSong; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;'>阅读</span><span style='outline: 0px; max-width: 100%; font-family: FangSong; letter-spacing: 0.544px; caret-color: rgb(217, 33, 66); font-size: 15px; color: rgb(217, 33, 66); visibility: visible; box-sizing: border-box !important;'>8</span></strong></span></strong></span></strong></strong></span></strong></span></strong></span></strong></strong></span></strong><strong style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; caret-color: rgb(0, 0, 0); color: rgb(255, 0, 0); font-size: medium; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-family: FangSong; font-size: 15px; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; text-indent: 28px; widows: 1; color: rgb(217, 33, 66); font-family: 宋体; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(255, 0, 0); font-family: FangSong; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; color: rgb(217, 33, 66); font-family: 宋体; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-family: FangSong; letter-spacing: 0.544px; color: rgb(0, 0, 0); font-size: 13px; visibility: visible; box-sizing: border-box !important;'>分钟</span></strong></span></strong></span></strong></strong></span></strong></span></strong></span></strong></strong></span></strong></section><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>因在拥挤嘈杂的公交车上“维护纪律”,短视频平台自媒体人“快乐小赵”走红网络,被网友称为“公交纪律员”。日前,29岁的网红“快乐小赵”离世,他的同事告诉媒体死因或是酮中毒。11月20日,其一位好友向新京报记者表示,小赵的遗体已经火化,死亡原因与酮症酸中毒有一定关系。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>新京报记者在小赵此前发布的视频中看到,他因酮症酸中毒于今年7月入院抢救和治疗。一位同病房患者的家属说,小赵因糖尿病足失去了两根脚趾。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br style='box-sizing: content-box;outline: none !important;'></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>酮症酸中毒由此进入大众视野,这是一种什么病,危险程度如何?</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br style='box-sizing: content-box;outline: none !important;'></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>据相关科普,当人体缺乏葡萄糖时,细胞无法获得能量,就会迫使人体分解脂肪作为燃料。而分解脂肪的过程中会释放不能被身体利用的产物——酮,正常情况下酮可通过尿液排出,但当酮产出过多,超过肾脏的代谢能力,就会引起酮症酸中毒。它表现为多尿、口渴、明显乏力、食欲减退、恶心呕吐、呼吸困难、脱水、精神不振、头晕头痛、口中有类似烂苹果的酮臭味等,糖尿病酮症酸中毒可能引起感染、肾功能衰竭、急性肝损害等更多病症。它发病急、进展快,如果治疗不及时,患者会陷入昏迷,甚至有生命危险。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>中国中医科学院西苑医院内分泌科医师黄珂介绍,酮症酸中毒诱因多样,但糖尿病群体的发病率相对较高,救治不及时会出现致死的情况。此外,血糖过高和过低都有可能引发中毒,对糖尿病患者而言,规范服药和定期监测十分重要。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br style='box-sizing: content-box;outline: none !important;'></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>安徽医科大学第一附属医院内分泌科主任医师孙艳提醒,如今,一些健身达人选择以生酮饮食——低碳水化合物、高脂肪的膳食模式来控制血糖和体重、进行增肌,从中国人的饮食习惯及能量代谢规律来说,长期如此,会有酮症甚至酮症酸中毒的风险。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;'><br></p><section style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;width: 68px;height: auto !important;'></span></section><section style='text-align: justify; margin-left: 16px; margin-right: 16px;'><strong style='color: rgb(122, 68, 66);letter-spacing: 0.034em;'><span style='outline: 0px;'><strong>危及生命的中毒</strong></span></strong></section><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>日前,网上流传年仅29岁的小赵去世的消息。他的好友谷先生向媒体证实,11月14日凌晨,小赵的遗体被发现,医生确认他已死亡。小赵的同事告诉媒体,其死因或是酮中毒,但具体如何中毒的还不清楚;小赵的朋友则表示,是否真的为酮中毒,还需等专业机构鉴定。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><section style='margin-right: 16px; margin-left: 16px; outline: 0px; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); line-height: normal;'><span class="wxart_image" wx-style='display:inline-block;font-size: var(--articleFontsize);width: 100%;height: auto;'></span><strong style='color: rgb(136, 136, 136);font-size: 12px;letter-spacing: 0.034em;'><span style='outline: 0px;'><strong><span style='outline: 0px;'>小赵在住院期间发视频感谢给他送礼物的朋友。网络截图</span></strong></span></strong></section><p style='margin-right: 16px; margin-left: 16px; outline: 0px; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); line-height: normal;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>新京报记者在小赵此前发布的视频中看到,他曾因酮症酸中毒于今年7月入院抢救和治疗。当时,小赵摔倒在家里,他通过微信向所居住公寓的工作人员求助,“我想出门打车去医院,实在走不动,两天没吃点东西了。”8月,小赵发布了自己入院治疗的过程视频,根据医院出具的急诊留观室记录,他于7月28日被诊断为酮症酸中毒和休克状态等,就诊主诉为发热、乏力四天,神志恍惚一天。被送往急诊时,他出现血压降低、心率增快、阵发躁动及胡言乱语、呼吸急促、口唇颜色苍白等症状。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>小赵从陪护的朋友处了解到,到医院后,他输了两袋液体,但状态越来越差,开始狂躁,心跳达到180次/分钟,记忆出现错乱,经抢救苏醒之后也迷迷糊糊。从中午进院直到晚上八九点钟,小赵的状态才有好转。和小赵同病房患者的家属为他录制过视频,她谈到,小赵因糖尿病足失去了两根脚趾。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br style='box-sizing: content-box;outline: none !important;'></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>“活过来了,命保住了。”脱险后,小赵曾多次在评论区提醒粉丝们,要爱惜自己的身体。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>什么是酮症酸中毒?为什么会中毒?我也有糖尿病,糖尿病会这么严重吗?小赵的离世让网友们关注到酮症酸中毒这一概念,有网友在评论区就此展开讨论。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>曾酮症酸中毒的曹先生和小赵有着相似的“死里逃生”经历。2020年,曹先生的体重由150斤减少至100斤出头,后被确诊为2型糖尿病,次年6月,他的身体开始没劲儿和冒虚汗。2021年7月某天,曹先生呼吸急促、记不住事情,当晚到医院输液治疗,呼吸急促得到缓解,但处于无意识状态。第二天中午,他转至市里的三甲医院,刚到门口心脏和呼吸骤停,抢救过后陷入昏迷,在重症监护室治疗了21天。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>他回忆,在昏迷期间,自己什么都不知道,但能听见仪器发出的“嘣嘣嘣”声响。醒来后,他前往康复医院进行站床、蹬车、声部反馈、手法按摩、电刺激等治疗,前两三个月苏醒但不清醒,心率快、全身无力,能正常吃饭睡觉,不能理解别人说的话;后六个月意识慢慢清楚。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>曹先生称,从康复医院回家到现在,自己只能靠助行器在家活动,且记忆力有所减退,说话略显结巴,医生告诉他这些都是酮症酸中毒后遗症,需要长期的恢复时间。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>他表示,自己的中毒是由糖尿病引起,并推测患病与生活习惯密不可分。“我爱喝啤酒,常年保持着一天喝十几瓶的习惯,确诊糖尿病后戒了半个月,因为馋又开始喝,还喜欢吃高油脂类、炭烤类食物。”</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><section style='margin-right: 16px; margin-left: 16px; outline: 0px; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); line-height: normal;'><span class="wxart_image" wx-style='display:inline-block;font-size: var(--articleFontsize);width: 100%;height: auto;'></span><strong style='color: rgb(136, 136, 136);font-size: 12px;letter-spacing: 0.034em;'><span style='outline: 0px;'><strong><span style='outline: 0px;'>曹先生的入院记录。受访者供图</span></strong></span></strong> </section><section style='margin-right: 16px; margin-left: 16px; outline: 0px; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); line-height: normal;'><strong style='color: rgb(136, 136, 136);font-size: 12px;letter-spacing: 0.034em;'><span style='outline: 0px;'><strong><span style='outline: 0px;'><br></span></strong></span></strong></section><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>今年40岁、患糖尿病10年的张先生说,他也是突然病发,当时心脏跳动得比较厉害,他和家人没太在意,都以为休息好就没事了。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>此后,张先生的心慌状况更为显著,并伴有呕吐;呕吐的间隔时间不断缩短,在吃不下饭的情况下,他每隔十多分钟就要吐一次,“吐出来的都是水,我很口渴,喝多少就吐多少。”他到医院急诊时已走不动路,躺在移动床上也止不住地吐,经动脉血检验,被确诊为酮症酸中毒。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>呕吐止住以后,他转去住院部治疗了7天得以恢复。他发现,自那至今,自己的心率一直处于90多次/分钟的较高水平,睾丸素等数值处在对应年龄段的偏低水准,且浑身无力的症状更加明显。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><section style='margin-right: 16px; margin-left: 16px;'><span class="wxart_image" wx-style='display:inline-block;width: 68px;height: auto !important;'></span></section><section style='margin-right: 16px; margin-left: 16px; text-align: justify;'><strong style='color: rgb(122, 68, 66); font-size: var(--articleFontsize); letter-spacing: 0.034em;'><span style='outline: 0px;'><strong>酮症酸中毒诱因多样,多见于糖尿病群体</strong></span></strong></section><section style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></section><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>中国中医科学院西苑医院内分泌科医师黄珂介绍,酮体是肝脏中脂肪酸分解利用的中间代谢产物,包括乙酰乙酸、β-羟丁酸和丙酮三种成分。应激状态、过度劳累、大量饮酒、药物、肿瘤、怀孕、创伤、急性胰腺炎等,都是容易引发酮症酸中毒的原因。按照病因,酮症酸中毒分为糖尿病酮症酸中毒、酒精性酮症酸中毒及饥饿性酮症酸中毒等。例如,如果长期不吃东西,则有可能引起饥饿性酮症酸中毒,该类中毒大多数与糖脂代谢紊乱有关。对于减肥群体而言,只代谢体内脂肪的生酮饮食(只吃肉不吃淀粉类食物)也会使尿液中产生酮体。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>“一般来说,酮症酸中毒在糖尿病人群的发病率较高,属于糖尿病的急性并发症。”黄珂表示,国内一项多中心研究表明,因DKA(糖尿病酮症酸中毒)入院的患者大约有47.9%是1型糖尿病人,45.7%为2型糖尿病;成人DKA多发在特定的情况下,如感染、应激等的中老年2型糖尿病患者。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>安徽医科大学第一附属医院内分泌科主任医师孙艳提及,目前,新型降糖药物——钠葡萄糖转运蛋白2抑制剂的使用逐渐增多,其可能诱发的非高糖性酮症酸中毒风险越来越引起医生的关注。黄珂提醒,使用此类药物的患者需要多喝水,定期监测血糖、血酮及尿酮。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br style='box-sizing: content-box;outline: none !important;'></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>黄珂表示,就北京地区而言,鉴于较好的医疗环境和患者较强的控糖意识,酮症酸中毒发病率不高,“有的酮症患者是没有症状的,大家可以买一些血酮试纸进行检测。”</span></p><section style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></section><section style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></section><section style='text-align: justify; margin-left: 16px; margin-right: 16px;'><span class="wxart_image" wx-style='display:inline-block;width: 68px;height: auto !important;'></span></section><section style='margin-right: 16px; margin-left: 16px; text-align: justify;'><strong style='color: rgb(122, 68, 66); font-size: var(--articleFontsize); letter-spacing: 0.034em;'>早诊断、早治疗是关键</strong></section><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>“不管是哪种原因引起的酮症酸中毒,它的症状或危害主要就是由于酸中毒所致。”孙艳说,酸中毒是指体内的一种严重的酸碱平衡紊乱,在此情况下,人体内的细胞、器官、组织的功能都会出现异常状况,从而导致多系统功能紊乱的临床表现。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>腹痛乏力、烦躁不安、口渴多饮、食欲不振、嗜睡、皮肤干燥等是多数酮症酸中毒患者的前期表现,更严重的会出现恶心呕吐、呼吸深快(20-25次/分)且呼出气体呈烂苹果味、血压下降(90/60mmHg以下)、四肢厥冷、心率加快(≥100次/分)的情况,甚至昏迷和死亡。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>“糖尿病酮症酸中毒的患者发病急、病情危重、个体差异较大,因此做到早诊断、早治疗是关键。”黄珂提醒,糖尿病酮中毒的生化基础是酮体生成增多,而胰岛素治疗能抑制酮体生成,促进氧化纠正酸碱失衡,减少低血糖发生倾向,所以早期在大量补液的基础上,小剂量胰岛素持续微量泵入是治疗糖尿病酮症酸中毒的关键。若患者没能得到及时治疗,酮症酸中毒便有致死风险;当治疗效果不好,易诱发急性肾衰竭、心衰、感染中毒性休克等。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br style='box-sizing: content-box;outline: none !important;'></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>“酮症酸中毒的致死率目前没有大范围的临床研究调查结果,只能说病情严重程度与酸中毒程度和救治时间、医院级别有很大关系,越早发现,抢救的成功率就越高。”孙艳补充道。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>相关医学专家表示,通常来说,酮症酸中毒的治疗周期在一星期左右。出院以后,患者要保证规律生活,按时服药,定期监测血糖和酮体,谨遵医嘱进行用药。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br style='box-sizing: content-box;outline: none !important;'></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>记者注意到,部分糖尿病患者在社交平台分享控糖心得,称应少吃甚至不吃米面类食物,对此,黄珂指出,控制血糖并不等于控制饮食,“我们会按照患者的身高、体重、合并症,从事劳动强度等,指导其摄入适应个体化的蛋白类、脂肪类和碳水化合物,并选择个体化降糖方案。无米无面缺乏直接的糖原,人体供能主要依赖是脂肪,酮症便易产生。”她强调,糖尿病患者要保证基本营养要素的同时摄取,不能暴饮暴食,须定期门诊随诊。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>从小赵发布的视频可以发现,咖啡、汉堡、薯条等是他钟爱的食物,曾有粉丝提醒他少吃,他回复说“咖啡是无糖的。”黄珂解释,关于市面上的无糖奶茶、无糖咖啡、无糖气泡水等无糖饮品的“无糖”并非不含糖,指的是不含有葡萄糖、果糖、单糖、蔗糖、乳糖这类糖,添加的是代糖(人工甜味剂),虽然不会明显提升血糖,但会导致身体对糖的认识出现问题,使胰岛素分泌紊乱,引起肠道菌群失调,甚至会增加血栓的风险,“所以我们不推荐患者过多食用无糖饮料和无糖食品,因为它们也有热量。”</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>未出现过酮症酸中毒的糖尿病患者如何预防?黄珂建议,患者和家属都要多学习相关知识,加强认知,比如,患者近期特别口干乏力、眼窝凹陷、皮肤干燥、神疲肢倦等,就应该及时去医院进行检查。对糖尿病人来说,每三个月监测糖化血红蛋白,每半年监测肝肾功能和血脂,每一年检查眼底神经和血管情况,是不可或缺的健康要求。</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><br></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: 宋体; font-size: medium; color: rgb(0, 0, 0); margin-left: 16px; margin-right: 16px; line-height: 1.6em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-size: 15px; box-sizing: border-box !important;'>孙艳表示,糖尿病患者一定要在医生指导下正确使用降糖药物,不随意中止或停止,勿轻信广告宣传,“尤其是1型糖尿病或者成人晚发型自身免疫型糖尿病患者,如果轻易停用胰岛素,极易引发酮症酸中毒。”</span></p></div>
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