milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университетmilmed-891Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESАлкогольный кетоацидозAlcoholic ketoacidosisЖуравковЮ. Л.ZhuravkovY. L.КоролеваА. А.KorolevaА. А.ЖуравковаА. Ю.ZhuravkovаA. Y.УО «Белорусский государственный медицинский университет»BelarusГУ «Белорусская медицинская академия последипломного образования»Belarus20202910202604128134Copyright © Журавков Ю.Л., Королева А.А., Журавкова А.Ю., 20262026Журавков Ю.Л., Королева А.А., Журавкова А.Ю.Zhuravkov Y.L., Koroleva А.А., Zhuravkovа A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/891

Кетоацидоз – термин, использующийся для метаболических ацидозов, связанных с накоплением кетоновых тел. Наиболее распространенная причина кетоацидоза – диабетический кетоацидоз. Две других причины – кетоз голодающих и алкогольный кетоацидоз. Проблема алкогольного кетоацидоза будет рассмотрена в этом кратком обзоре.

Ketoacidosis is the term used for metabolic acidosis associated with an accumulation of ketone bodies. The most common cause of ketoacidosis is diabetic ketoacidosis. Two other causes are fasting ketosis and alcoholic ketoacidosis. The alcoholic ketoacidosis problems will be reviewed in the article.

кетоацидозкетозалкогольный кетоацидозKetoacidosisketosisalcoholic ketoacidosisReferencesRose BD, Post TW. Clinical physiology of acidbase and electrolyte disorders, 5th ed, McGraw-Hill, New York 2001. p. 801.Rose BD, Post TW. Clinical physiology of acidbase and electrolyte disorders, 5th ed, McGraw-Hill, New York 2001. p. 801.Yancy WS Jr, Olsen MK, Guyton JR, et al. A low-carbohydrate, ketogenic diet versus a lowfat diet to treat obesity and hyperlipidemia: a randomized, controlled trial. Ann Intern Med 2004; 140:769.Yancy WS Jr, Olsen MK, Guyton JR, et al. A low-carbohydrate, ketogenic diet versus a lowfat diet to treat obesity and hyperlipidemia: a randomized, controlled trial. Ann Intern Med 2004; 140:769.Shah P, Isley WL. Ketoacidosis during a low-carbohydrate diet. N Engl J Med 2006; 354:97.Shah P, Isley WL. Ketoacidosis during a low-carbohydrate diet. N Engl J Med 2006; 354:97.Kreisberg RA. Diabetic ketoacidosis, alcoholic ketosis, lactic acidosis, and hyporeninemic hypoaldosteronism. In: Diabetes mellitus: Theory and practice, 3rd ed, Ellenberg M, Rifkin H (Eds), Medical Examination Publishing Co Inc, New York 1983. P. 621.Kreisberg RA. Diabetic ketoacidosis, alcoholic ketosis, lactic acidosis, and hyporeninemic hypoaldosteronism. In: Diabetes mellitus: Theory and practice, 3rd ed, Ellenberg M, Rifkin H (Eds), Medical Examination Publishing Co Inc, New York 1983. P. 621.Palmer BF, Clegg DJ. Electrolyte Disturbances in Patients with Chronic Alcohol-Use Disorder. N Engl J Med 2017; 377:1368.Palmer BF, Clegg DJ. Electrolyte Disturbances in Patients with Chronic Alcohol-Use Disorder. N Engl J Med 2017; 377:1368.Linnoila M, Mefford I, Nutt D, Adinoff B. NIH conference. Alcohol withdrawal and noradrenergic function. Ann Intern Med 1987; 107:875.Linnoila M, Mefford I, Nutt D, Adinoff B. NIH conference. Alcohol withdrawal and noradrenergic function. Ann Intern Med 1987; 107:875.Umpierrez GE, DiGirolamo M, Tuvlin JA, et al. Differences in metabolic and hormonal milieu in diabetic- and alcohol-induced ketoacidosis. J Crit Care 2000; 15:52.Umpierrez GE, DiGirolamo M, Tuvlin JA, et al. Differences in metabolic and hormonal milieu in diabetic- and alcohol-induced ketoacidosis. J Crit Care 2000; 15:52.Fulop M, Ben-Ezra J, Bock J. Alcoholic ketosis. Alcohol Clin Exp Res 1986; 10:610.Fulop M, Ben-Ezra J, Bock J. Alcoholic ketosis. Alcohol Clin Exp Res 1986; 10:610.Aronson PS, Giebisch G. Effects of pH on potassium: new explanations for old observations. J Am Soc Nephrol 2011; 22:1981.Aronson PS, Giebisch G. Effects of pH on potassium: new explanations for old observations. J Am Soc Nephrol 2011; 22:1981.Smith SW, Manini AF, Szekely T, Hoffman RS. Bedside detection of urine beta-hydroxybutyrate in diagnosing metabolic acidosis. Acad Emerg Med 2008; 15:751.Smith SW, Manini AF, Szekely T, Hoffman RS. Bedside detection of urine beta-hydroxybutyrate in diagnosing metabolic acidosis. Acad Emerg Med 2008; 15:751.Schabelman E, Kuo D. Glucose before thiamine for Wernicke encephalopathy: a literature review. J Emerg Med 2012; 42:488.Schabelman E, Kuo D. Glucose before thiamine for Wernicke encephalopathy: a literature review. J Emerg Med 2012; 42:488.Miller PD, Heinig RE, Waterhouse C. Treatment of alcoholic acidosis: the role of dextrose and phosphorus. Arch Intern Med 1978; 138:67.Miller PD, Heinig RE, Waterhouse C. Treatment of alcoholic acidosis: the role of dextrose and phosphorus. Arch Intern Med 1978; 138:67.

The authors declare that there are no conflicts of interest present.