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糖尿病酮症酸中毒合并自发性纵膈气肿2例 被引量：3

Spontaneous pneumomediastinum in a patient with diabetic ketoacidosis:two cases report
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摘要 糖尿病酮症酸中毒（diabetic ketoacidosis,DKA）合并自发性纵膈气肿（spontaneous pneumomediastinum,SPM）临床上十分罕见,目前国内仅报道4例[1-4]。本文回顾性分析我院近年来收治的2例DKA合并SPM患者的临床资料,以期为临床上诊治本病提供参考。 Diabetic ketoaeidosis complicated with spontaneous pneumomediastinum in clinic is very rare and easily misdiagnosed. The clinical data were retrospectively analyzed in 2 cases of diabetic ketoacidosis complicated with spontaneous pneumomediastinum,in order to provide reference for clinical diagnosis and treatment of this dis- ease.
作者 骆红亮 涂黎明 陈德海 吴喜燕 杜春明
机构地区 亳州市人民医院心胸外科
出处 《临床急诊杂志》 CAS 2018年第1期63-65,共3页 Journal of Clinical Emergency
关键词 纵膈气肿 糖尿病酮症酸中毒 糖尿病 自发性 pneumomediastinum diabetic ketoacidosis diabetic spontaneous
分类号 R595.4 [医药卫生—内科学]
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  • 1Pauw RG, van der Weft TS, van Dullemen HM, et al.Mediastinal em- physema complicating diabetic ketoacidosis:plea for conservative di- agnostic approach[J]. Neth J Med,2007,65(10):368-371.
  • 2Macia I,Moya J,Ramos R, et al. Spontaneous pneumomediastinum: 41 cases[J]. Eur J Cardiothorac Surg, 2007, 31 (6): 1110-1114.
  • 3Pooyan P, Puruckhen" M, Surrmlel's JA, et al. Pneumomediastinum, pneumopericardium, and epidural pneumatosis in DKA. J Diabetes Complications, 2004, 18:242-247.
  • 4Pauw RG, van der Weft TS, van Dullemen HM, et al. Dullaart RP. Mediastinal emphysema complicating diabetic ketoaeidosis: plea for conservative diagnostic approach. Neth J Med, 2007, 65 : 368-371.
  • 5Lin SY, Chang CT, Chen CC, et al. Diabetic ketoaeidosis complicated by pneumomediastinum and Mallory-Weiss tear in a young boy with new onset Type 2 diabetes. South Med J, 2008, 101:769-770.
  • 6Stevens MS, Mullis TC, Carron JD. Spontaneous tracheal rupture caused by vomiting. Am J Otolaryngol, 2010, 31:276-278.
  • 7C. A. Gogos,S. Giali,F. Paliogianni,G. Dimitracopoulos,H. P. Bassaris,A. G. Vagenakis. Interleukin-6 and C-reactive protein as early markers of sepsis in patients with diabetic ketoacidosis or hyperosmosis[J] 2001,Diabetologia(8):1011～1014
  • 8KatreddyVM, VarugheseGI, NayakAU. Medical image. Pneumomediastinum—an unusual complication of diabetic ketoacidosis[J]. N Z Med J, 2013,126(1376):97-98.
  • 9BandayW, TahirM, JalluS, et al. Spontaneous pneumomediastinum: rare complication of diabetic ketoacidosis[J]. BMJ Case Rep, 2009,2009. DOI: 10.1136/bcr.10.2008.1091.
  • 10PauwRG, van der WerfTS, van DullemenHM, et al. Mediastinal emphysema complicating diabetic ketoacidosis: plea for conservative diagnostic approach[J]. Neth J Med, 2007,65(10):368-371.

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临床急诊杂志
2018年 第1期

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