Diagnosis of acetonemic syndrome. Acetonemic syndrome is characterized by the presence of ketone bodies in the blood: acetone, acetoacetic acid and b-hydroxybutyric acid, which are products of incomplete oxidation of fatty acids and are formed during the breakdown of ketogenic amino acids. Ketonemia is always accompanied by acetonuria and leads to the accumulation of ketone bodies in the tissues, the development of metabolic acidosis.
Fluid therapy is indicated for persistent vomiting and moderate to severe dehydration. Intravenous infusion of glucose and alkaline solutions has the following effects: helps eliminate dehydration; improves fluid microcirculation in the body; helps more efficient absorption and metabolism of readily available carbohydrates; restores acid-base balance. Proper treatment allows you to cope with the manifestations of coreg syndrome in 2-5 days.
In the periods between attacks, children prone to acetonemic crises are monitored by a pediatrician, a pediatric endocrinologist is involved, since there is a risk of developing diabetes. The course is assigned: therapeutic massage; multivitamin complexes and calcium preparations; enzymes and hepatoprotectors; sedatives. Twice a year, blood glucose is monitored, ultrasound of the abdominal cavity and kidneys is carried out. A coprogram (a comprehensive analysis of feces) is required to detect changes in the functioning of internal organs.