糖尿病酮症酸中毒并发脑疝一例及文献复习
摘要
脑水肿为儿童糖尿病酮症酸中毒（diabetic ketoacidosis．DKA）最为常见的严重并发症，是引起糖尿病儿童死亡及遗留永久性神经系统损害的主要原因。国外已对该并发症的临床特征及高危因素进行观察及研究，国内至今仍少见报告。我院最近收治了1例儿童DKA并发脑疝的病例，现报道如下．以期引起重视。
出处
《中国小儿急救医学》
CAS
2008年第3期292-293,300,共3页
Chinese Pediatric Emergency Medicine
参考文献17
-
1Dunger DB, Sperling MA, Acerini CL, et al. ESPE/LWPES consensus statement on diabetic ketoacidosis in children and adolescents.Arch Dis Child, 2004, 89(2): 188-194.
-
2Shrier DA, Shibata DK, Wang HZ, et al. Cerebral brain herniation secondary to juvenile diabetic ketoacidosis. Am J Neuroradiol, 1999, 20(10) : 1885-1888.
-
3Troy PJ, Clark RP, Kakarala SG, et al. Cerebral edema during treatment of diabetic ketoacidosis in an adult with new onset diabetes. Neurocritical Care, 2005, 2(1) :55-58.
-
4Glaser N, Barnett P, McCaslin I, et al. Risk factors for cerebral edema in children with diabetic ketoacidosis. N Engl J Med, 2001,344(4) :264-269.
-
5Glaser N. New perspectives on the pathogenesis of cerebral edema complicating diabetic ketoacidosis in children. Pediatr Endoerinol Rev, 2006, 3(4) :379-386.
-
6Glaser N. Cerebral edema in children with diabetic ketoacidosis. Curr Diab Rep, 2001, 1(1) :41-46.
-
7Lin B, Ginsberg MD, Busto R, et al. Hyperglycemia triggers massive neutrophil deposition in brain following transient ischemia in rats. Neurosci Lett, 2000, 278(1-2) : 1-4.
-
8Edge JA. Cerebral edema during treatment of diabetic ketoaeidosis, are we any nearer finding a cause? Diabetes Metab Res Rev, 2000, 16(5) :316-324.
-
9Silver SM, Clark EC, Schroeder BM, et al. Pathogenesis of cerebral edema after treatment of diabetic ketoacidosis. Kidney Int, 1997, 51(4) : 1237-1244.
-
10Glaser NS, Wootton-Gorges SL, Marcin JP, et al. Mechanism of cerebral edema in children with diabetic ketoacidosis. J Pediatr, 2004, 145(2) : 164-171.
-
1莫永红.糖尿病酮症酸中毒发病诱因分析及护理对策[J].广西医学,2004,26(6):892-893. 被引量：2
-
2陈瑶,王健,黄培基.糖尿病合并酮症酸中毒合并高脂性胰腺炎7例[J].福建医科大学学报,2008,42(4):369-370. 被引量：1
-
3海洁,张洁.糖尿病酮症酸中毒患儿护理干预的效果评价[J].中国实用护理杂志,2011,27(23):40-41. 被引量：5
-
4王丽红,刘晓燕,卢亚男,王亚菊,宋娜,高宇.糖尿病酮症酸中毒合并急性胰腺炎1例[J].承德医学院学报,2013,30(2):166-167. 被引量：3
-
5何明海,袁宁,杨文翔,乔彦,王晓娟.糖尿病酮症酸中毒合并急性胰腺炎18例临床分析[J].实用医院临床杂志,2011,8(6):160-161. 被引量：2
-
6高晓冬.糖尿病酮症酸中毒30例临床分析[J].中国医药指南,2013,11(10):48-49. 被引量：2
-
7臧军现.糖尿病酮症酸中毒35例诊治体会[J].陕西医学杂志,2004,33(10):947-948.
-
8李其旺,黄磊.糖尿病酮症酸中毒56例的救治和监护[J].现代医药卫生,2011,27(22):3446-3447. 被引量：1
-
9王秋雁.31例糖尿病酮症酸中毒临床分析[J].内蒙古中医药,2010,29(12):66-67.
-
10杨淑光,李成立,张红.农民糖尿病酮症酸中毒36例临床分析[J].山东医药,2003,43(2):46-47.
