Clinical interpretation of acetonemic vomiting in pediatries


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Acetonemic vomiting is a syndromic condition that occurs in 4–7-year-old children more often than in the other age groups (t = 53,5; p(0,001). Girls are more exposed to acetonemia (t = 55,5; p(0,001), but its severity is more expressed in boys (the average duration of ketoacidosis for boys is 1,58 days, for girls — 1,17 days (t = 3,8; p(0,001). There is also more expressed ketoacidosis in pre-school children as compared with toddlers (t = 2,9; p(0,01) and compared with school-age children (t = 2,8; p(0,01). There are no reliable gender differences in ketoacidosis’ severity. Now the number of children hospitalized to Ivano-Matreninskaya state pediatric hospital with cyclic vomiting syndrome (CVS) has increased by 8 times in the last 10 years.

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作者简介

Lyubov Reshetnik

Irkutsk State Medical University

Email: Lreshetnik@yandex.ru
MD, PhD, Dr Med Sci, Professor, Head Dept. of Children Disease

Yelena Parfenova

Irkutsk State Medical University

Email: elena_parfenova@mail.ru
MD, PhD, Associate Professor, Department of Children Disease

Nadezhda Krivickaya

Ivano-Matreninskaya state pediatric hospital

Email: nkrivizh@mail.ru
Head, Gastroenterologi Dept.

参考

  1. Закиров Л. А., Кузнецова Л. А. Кетоацидоз у детей // Казанский медицинский журнал. — 1988. — № 1.
  2. Курило Л. В. Первичный ацетонемический синдром у детей // Medicus Amicus. — 2002. — № 4.
  3. Лукьянчиков В. С. Кетоз и кетоацидоз. Парабиохимический и клинический аспект // Российский медицинский журнал. — 2004. — № 23.

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版权所有 © Reshetnik L.A., Parfenova Y.O., Krivickaya N.S., 2013

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