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Alkoholna ketoacidoza kot možen vzrok smrti : disertacijaKadiš, PeterDue to uncertain cause of sudden deaths of chronic alcoholics such cases are commonly investigated in forensic pathology. However, this cause remains undetermined in 10 to 20 % of all cases despite ... of careful postmortem examinations comprising autopsy, histological, alcoholimetric and toxicological analyses. By selected foreign reports the cause of death in someof these cases could be alcoholic ketoacidosis and hypoglycemia due to coincidence of alcoholic abuse and starvation. Alcoholic ketoacidosis so as hypoglycemia couldnćt be directly proved postrnortem due to autolytic processes, but beta-hydroxybutyric acid (beta-HBA) as a specific postmortem indicator of fatal alcoholic ketoacidosis could be determined. In this prospective study we analyzed the cause of death, liver pathology and (3- HBA concentration in postmortem blood, urine, cerebrospinal fluid and vitreous humor of 50 suddenly deceased chronic alcoholics. The control group comprised 30 cases of suddenly deceased nonalcoholics. Forensic autopsy, histological, alcoholimetric and toxicological analyses were performed in all of these cases. The main causes of death in chronic alcoholics were cardiovascular diseases, respiratory infections, gastrointestinal bleeding, suicides and acute ethanol intoxication. In 10 cases or 20 % of cases where the cause of death remained unclear and unexplained by conventional examination, the levelsof beta-HBA were pathologically increased in blood, vitreous humor and urine (over 2000 micro molž1). The measwements were significantly higher than in the group of chronic alcoholics with the known cause of death and the control group (p< 0,001). The levels of beta- HBA in cerebrospinal fluid were not statistically significant in the both groups of chronic alcoholics and in the control group as well. (Abstract truncated at 2000 characters).Type of material - dissertationPublication and manufacture - Ljubljana : [P. Kadiš], 2001Language - slovenianCOBISS.SI-ID - 2254612
Author
Kadiš, Peter
Other authors
Ferlan Marolt, Vera |
Balažic, Jože, 1954-
Topics
Alcoholism |
Complications |
Fatal outcome |
Acidosis |
Diagnosis |
Keto acids |
Adverse effects |
3-Hydroxybutyriac acid |
Diagnostic use |
Alkoholizem |
Komplikacije |
Smrtni izid |
Acidobaza |
Diagnostika |
Keto kisline |
Škodljivi učinki |
3-Hidroksibutirična kislina |
Diagnostična raba |
pravosodje
Library | Call number – location, accession no. ... | Copy status |
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National and University Library, Ljubljana | GS II 524834 glavno skladišče | available - reading room |
MF, Central Medical Library, Lj. | doktorske disertacije KADIŠ Peter Alkoholna IN: 020010277 |
available - outside loan, loan period: 1 months |
MF, Central Medical Library, Lj. | doktorske disertacije KADIŠ Peter Alkoholna IN: 020010276 |
available - outside loan, loan period: 1 months |
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Database name | Field | Year |
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Kadiš, Peter | 19729 |
Balažic, Jože, 1954- | 05353 |
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