暴发性1型糖尿病临床特点分析
摘要
目的探讨暴发性1型糖尿病的临床特点和救治方法。方法回顾性分析5例暴发性1型糖尿病的发病过程、临床表现、实验室检查特点以及救治过程。结果5例暴发性1型糖尿病患者发病急骤，进展快，“三多”症状明显，血糖高，并且均有酮症酸中毒，但糖化血红蛋白相对不高。而且合并有恶心、呕吐、腹痛的消化道症状及心肌损伤。结论暴发性1型糖尿病是一种比较少见的糖尿病新亚型，其发病快，代谢紊乱严重，并发症多，预后凶险，需及时进行有效的诊治。
出处
《中国医师进修杂志》
2011年第34期64-66,共3页
Chinese Journal of Postgraduates of Medicine
参考文献5
-
1Imagawa A, Hanafusa T, Miyagawa J, et al. A novel subtype of type 1 diabetes mellitus characterized by a rapid onset and an absence of diabetes-related antibodies. Osaka IDDM Study Group. N Engl J Med, 2000,342(5 ) : 301-307.
-
2Imagawa A,Hanafusa T,Uehigata Y,et al. Fulminant type 1 diabetes :a nationwide survey in Japan. Diabetes Care, 2003,26 (8) :2345-2352.
-
3冯尚勇,张真稳,朱妍,闫彩凤,孙晓芳,王艳,刘彦.暴发性1型糖尿病二例[J].中国医师进修杂志,2010,33(7):76-77. 被引量：3
-
4Tanaka S,Endo T,Aida K,et al. Distinct diagnostic criteria of fulminant type l diabetes based on serum C-peptide response and HbA1c levels at onset. Diabetes Care, 2004,27(8 ) : 1936-1941.
-
5Murase Y,Imagawa A,Hanafusa T,et al. Fulminant type 1 diabetes as a high risk group for diabetic microangiopathy-a nationwide 5-year-study in Japan. Diabetologia,2007,50:531- 537.
二级参考文献6
-
1周健,包玉倩,李鸣,刘芳,陈海冰,韩峻峰,陆蔚,马晓静,胡承,项坤三,贾伟平.暴发性1型糖尿病的临床特征及治疗策略探讨[J].中华糖尿病杂志,2009,1(1). 被引量：31
-
2Kawasaki E, Eguchi K. Genetics of fulminant type 1 diabetes. Ann N Y Acad Sci, 2006,1079:24-30.
-
3Chiou CC, Chung WH, Hung SI, et al. Fulminant type 1 diabetes mellitus caused by drug hypersensitivity syndrome with human herpesvirus 6 infection. J Am Acad Dermatol, 2006,54(2 Suppl): S14-17.
-
4Inagaki T, Nishii Y, Suzuki N, et al. Fuhninant diabetes mellitus associated with pregnancy: case reports and literature review. Endocr J, 2002,49 ( 3 ) : 319-322.
-
5Tanaka S, Endo T, Aida K, et al. Distinct diagnostic criteria of fulminant type 1 diabetes based on serum C-peptide response and HbA1c levels at onset. Diabetes Care, 2004,27 (8) : 1936-1941.
-
6Iyoda M, Kuroki A, Kato K, et al. A case of acute renal failure due to rhabdomyolysis, associated with non-autoimmune fulminant type 1B diabetes mellitus. Clin Nephrol, 2003,59(4 ) : 301-304.
共引文献2
-
1史光英.爆发性1型糖尿病血淀粉酶升高的临床研究[J].中国医药指南,2014,12(28):109-109. 被引量：1
-
2罗娜,佘敦敏,张真稳,闫彩凤,陈晖,王艳,冯尚勇,刘彦.妊娠期暴发性1型糖尿病并死胎1例[J].医学理论与实践,2014,27(22):3030-3031. 被引量：3
-
1冯丽安.放完支架有三多[J].养生保健指南（中老年健康）,2011(10):35-35.
-
2温常清,闫美云.无典型症状糖尿病30例临床分析[J].中国医学创新,2010,7(9):192-193.
-
3郭业新,吕冬梅.老年糖尿病误漏诊21例分析[J].临床内科杂志,2005,22(3):208-208. 被引量：1
-
4李友良,宁静.老年糖尿病合并肺结核57例临床分析[J].南京铁道医学院学报,1999,18(4):272-274. 被引量：4
-
5钟谷平,熊朝亮,范慧珍,李川.肝源性糖尿病89例临床诊治分析[J].江西医药,2011,46(10):924-926.
-
6丁亚珍,袁建宁,黄莉萍,王艳琪,刘海兰.老年糖尿病70例临床分析[J].中国老年学杂志,1989,13(S1):58-58.
-
7丁华,谢立,考庆君,杨旭辉,温圆圆,吕华坤,陈直平,陈恩富,孙昼,李钧,于新芬,濮小英,潘劲草,汪凤娟,徐校平.杭州市首例人感染H7N9禽流感病例调查[J].中华预防医学杂志,2013,47(12):1155-1156. 被引量：7
-
8SHANXIYOUTH[J].山西青年,2013(4):10-11.
-
9章臻翊,罗说明,王臻,李霞,郑超,黄干,周智广.妊娠相关性暴发性1型糖尿病临床特征分析[J].中华妇产科杂志,2012,47(7):530-532. 被引量：12
-
10赖世芳,柳香梅.1例重症肺炎可疑H7N9禽流感的护理[J].蛇志,2013,25(3):343-344. 被引量：1
