妊娠期糖尿病并酮症酸中毒七例报告

The 7 cases of gestational diabetes mellitus complicated with ketoacidosis.

目的收集妊娠期糖尿病(GDM)发生酮症酸中毒(DKA)的病历,总结其经验教训。方法收集我院2006年10月至2008年10月期间所有诊治的妊娠期糖尿病酮症酸中毒病历,分析临床资料和母儿结局。结果2年间共收治妊娠期糖尿病酮症酸中毒病人7例,其发病率为0.4‰,均未进行正规产检,无糖尿病家族史,占GDM的3.9%,足月活产1例,早产1例,围产儿死亡5例,1例孕产妇死亡。结论妊娠期糖尿病酮症酸中毒是一种急重并发症,严重影响母儿安全,应积极诊治和处理。

Objective： To collect the cases of gestational diabetes mellitus （ GDM ） complicated with Ketoacidosis （ DKA ）, and summarize the experience. Methods： We collected all cases of GDM complicated with DKA in our hospital during hospitalization from October 2006 to October 2008, and analyzed the clinical data and the maternal and fetal outcomes. Results： Seven cases of DKA have been treated in the two years, the incidence rate is 0. 4%. in our hospital, all of them did not accept the routine pregnant care and did not have the family history of Diabetes Mellitus, accounted for 3.9% of GDM. An infant was born in term, Another one was born in premature, fetal death in the perinatal period are five cases, one pregnant woman died. Conclusions： GDM complicated with DKA, a serious complication to threaten the maternal and fetal health, should be diagnosed and treated positively.