以腹痛为首诊的2型糖尿病酮症酸中毒2例诊疗分析

Diagnosis and treatment on 2 cases of type 2 diabetic ketoacidosis with abdominal pain as the first diagnosis

目的:探讨糖尿病酮症酸中毒急性腹痛的发病机制、与急腹症的鉴别要点及诊疗体会。方法:对2例以急性腹痛为首发表现的糖尿病酮症酸中毒患者的临床资料进行回顾性分析。结果:本组2例患者确诊治疗后急性腹痛症状好转,酮症消失。结论:以急性腹痛起病的糖尿病酮症酸中毒有时与外科急腹症难以鉴别,临床医师应加强对糖尿病酮症酸中毒以急性腹痛为首发症状的认识,避免医疗事故的发生,保障患者的生命安全。

Objective:To investigate the pathogenesis of acute abdominal pain in diabetic ketoacidosis,and the differential diagnosis with acute abdomen,and its treatment.Methods:The clinical data of2cases of diabetic ketoacidosis with abdominal pain as the first diagnosis were analyzed retrospectively.Results:After been diagnosed and treated,acute abdominal pain symptoms in those2patients had improved,and the ketosis symptoms disappeared.Conclusion:Acute abdominal pain in diabetic ketoacidosis also difficult to distinguish with acute abdomen sometimes.Clinicians should strengthen the understanding of DKA with acute abdominal pain as the first symptoms,avoid medical accidents,and ensure the safety of patients.