糖尿病酮症合并狂犬病1例报道

Diabetic ketosis complicated with rabies—A case report

患者男,48岁,主因"口干、多饮、多尿2年,加重伴腹痛、恶心、呕吐2d",于2011年11月28日入院。未服用任何降糖药物。患者1个月前被犬咬伤面部,当时无任何处理。入院查血糖15.7mmol/L、尿糖+、尿酮体++。入院24h后患者烦躁不安,无诱因出现阴茎勃起。48h后,唾液分泌增加、恐水、畏风,诊断为糖尿病酮症合并狂犬病。75h后患者死于家中。

A 48-year-old man was admitted to the hospital on November 28th,2011,because of polydipsia and polyuria for two years,stomachache,nausea and vomiting for two days.He had never taken hypoglycemic agents.One month before the admission his face was bitten by a dog and no medication or measures was taken at that time.Experimental examination showed blood glucose 15.7 mmol/L,urine glucose＋,and urine acetone bodies ＋＋.Twenty-four hours later,the patient became dysphoric and had penile erections without inducement.Fourty-eight houes later,salivation was increased gradually,and the patient was scared of wind and water.He was diagnosed as diabetic ketosis combined with rabies.Seventy-five hours later,the patient died at home.