| 王爱芳 吴琳瑾 金一鸣.糖尿病酮症酸中毒并发纵隔气肿、横纹肌溶解1例报告[J].中国现代医生,2021,59(30):150-152 |
| 糖尿病酮症酸中毒并发纵隔气肿、横纹肌溶解1例报告 |
| A case report of diabetic ketoacidosis complicated with mediastinal emphysema and rhabdomyolysis |
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| DOI： |
| 中文关键词: 糖尿病酮症酸中毒 纵隔气肿 横纹肌溶解 病例报告 |
| 英文关键词:Diabetic ketoacidosis Mediastinal emphysema Rhabdomyolysis Case report |
| 基金项目:浙江省医药卫生科技计划项目（2018KY834） |
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| 中文摘要: |
| 该文报道1 例糖尿病酮症酸中毒并发纵隔气肿、横纹肌溶解。此患者因糖尿病酮症酸中毒急诊入院，病程中出现纵隔气肿，肌痛伴肌酸激酶、肌酸激酶-MB、血淀粉酶升高，经过积极补液、小剂量胰岛素等处理后病情好转。糖尿病最常见的急性并发症，多出现高血糖、高血酮、脱水、代谢性酸中毒及水电解质紊乱等征候群，但在糖尿病酮症酸中毒的诊治过程中，也需要关注并警惕少见并发症的发生，对于重症糖尿病酮症酸中毒的诊治及预后判断有积极的作用。 |
| 英文摘要: |
| A case report of diabetic ketoacidosis complicated with mediastinal emphysema and rhabdomyolysis was analyzed in this paper.This patient was admitted to hospital in emergency because of diabetic ketoacidosis.Mediastinal emphysema,myalgia with creatine kinase,creatine kinase-MB and serum amylase increased during the course of the disease.And his condition improved after being actively rehydrated and treated with a small dose of insulin.The most common acute complications of diabetes are hyperglycemia,hyper ketosis,dehydration,metabolic acidosis,water and electrolyte disturbance,etc.However,in the process of diagnosis and treatment of diabetic ketoacidosis,it is necessary to pay attention to and guard against the occurrence of rare complications,which plays a positive role in the diagnosis,treatment and prognosis judgment of severe diabetic ketoacidosis. |
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