期刊文献+

儿童糖尿病酮症酸中毒12例误诊分析

下载PDF
导出
摘要 目的:分析儿童糖尿病酮症酸中毒误诊原因,以提高DKA诊断水平。方法:回顾性分析12例误诊患儿的临床资料。结果:12例患者中首诊误诊44%,其中误诊为消化道疾病6例(阑尾炎2例,肠炎伴脱水3例,急性胃肠炎1例),误诊为呼吸道疾病3例(肺炎2例,哮喘1例),误诊为中枢神经系统感染2例,心肌炎1例。结论:儿童糖尿病酮症酸中毒起病急,发病迅速,易于误诊误治。误诊的主要原因是临床医师经验不足,缺乏对该病的认识,忽略了相关实验室检查。
作者 吕艳琴
出处 《中国社区医师(医学专业)》 2012年第4期290-291,共2页
  • 相关文献

参考文献2

二级参考文献42

  • 1陈凤生,曾畿生.小儿糖尿病的治疗问题——附24例临床分析[J].实用儿科临床杂志,1989,4(3):129-133. 被引量:3
  • 2王秀敏,吴西玲,梁黎,董关萍,杜立中.新诊断儿童1型糖尿病109例的临床特征[J].实用儿科临床杂志,2005,20(12):1190-1191. 被引量:7
  • 3Wolfsdorf J, Craig ME, Daneman D, et al. Diabetic ketoacidosis. Pediatr Diabetes, 2007,8:2843.
  • 4American Diabetes Association. Type 2 diabetes in children and adolescents. Diabetes Care,2000,23:381-389.
  • 5Kitabchi AE, Umpierrez GE, Murphy MB, et al. Management of hyperglycemic crises in patients with diabetes. Diabetes Care, 2001,24 : 131-153.
  • 6Rewers A, Chase HP, Mackenzie T, et al. Predictors of acute complications in children with type 1 diabetes. JAMA,2002,287: 2511-2518.
  • 7Hanas R, Ludvigsson J. Hypoglycemia and ketoacidosis with insulin pump therapy in children and adolescents. Pediatr Diabetes ,2006,7 ( Suppl 4 ) :32-38.
  • 8Morris AD, Boyle DI, McMahon AD, et al. Adherence to insulin treatment, glycaemic control, and ketoacidosis in insulindependent diabetes mellitus. The DARTS/MEMO Collaboration. Diabetes Audit and Research in Tayside Scotland. Medicines Monitoring Unit. Lancet ,1997 ,350 :1505-1510.
  • 9International Society for Pediatric and Adolescent Diabetes (ISPAD). Consensus guidelines 2000. ISPAD consensus guidelines for the management of type 1 diabetes mellitus in children and adolescents. The Netherlands: Medical Forum International, 2000:63-73.
  • 10Chase HP, Garg SK, Jelley DH. Diabetic ketoaeidosis in children and the role of outpatient management. Pediatr Rev, 1990, 11 : 297 -304.

共引文献112

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部