肥胖儿童2型糖尿病酮症酸中毒60例的临床分析

60 cases obese children Ⅱ diabetes TongZheng acidosis clinical analysis

目的:提高临床医师对以肥胖为首发症状的儿童2型糖尿病酮症酸中毒(DKA)并高脂血症(HL)的认识。方法:回顾性分析我院2001年1月至2011年12月收治的60例0～6岁2型糖尿病DKA并高脂血症肥胖儿童的临床资料。结果:60例肥胖儿童年龄(4.21±1.56)岁,其中女童24例,男童36例,男:女为1.8:1.2;病前均无糖尿病史及相关症状,均无高脂血症史;病前均无暴饮、暴食和胆石症史;均为肥胖体型,体质指数(29.41±2.07);均达到DKA诊断标准。结论:儿童肥胖型2型糖尿以肥胖就诊的,应常规查血脂;调整饮食和运动可以缓解肥胖儿童的糖尿病症状。

objective To improve the clinical pediatricians to start to in obesity symptoms of child obesity type 2 diabetes TongZheng acidosis （DKA） and tail lipemia （HL） understanding. Methods Retrospective analysis in January 2001 to December 2011 60 cases were 0-6 years of age FeiPanXing type 2 diabetes TongZheng acidosis and hyperlipidemia obese children clinical data. Results The 60 cases obese children, boys than girls, a ratio of 1.8：1.2, namely, girls for 24 cases, the boy for 36 cases, age： 4.21 ＋/-1.56 years;before the disease were no diabetes history and related symptoms, there were no history of hyperlipemia;before the disease were no boozing, overeating and cholelith disease history;are obese size, body mass index 29.41±2.07;reached DKA diagnosis standard. Conclusions children with type 2 diabetes FeiPanXing to obesity clinic of, should be routine check blood fat; adjust diet and exercise can relieve the obese child＇s 2 diabetes symptoms.