摘要
目的探讨糖尿病酮症酸中毒(DKA)[1]引起急性腹痛的机制、与急腹症的鉴别要点及误诊原因。方法对30例以急性腹痛起病的糖尿病酮症酸中毒误诊病人的临床资料进行分析。结果本组30例病例院内其他科室误诊22例,科内误诊8例。27例患者确诊后经抢救10～36h症状好转,酮症消失,3例患者死亡。结论以急性腹痛起病的糖尿病酮症酸中毒易与急腹症混淆,临床医生应加强对DKA患者以急性腹痛为首发症状的认识,以降低误诊率及死亡率。
Objective To explore the mechanism and characteristics of acute abdominal pain caused by diabetic ketoacidosis （DKA） and to discuss the differential diagnosis between acute DKA-caused abdominal pain and acute abdomen and the reason for misdiagnosis.Methods To analyse the clinical data of 30 misdiagnosed cases of DKA patients with acute abdominal pain as the initial symptom.Results 8 out of the 30 misdiagnosed cases were occurred in the internal medicine department and the other 22 cases were happened in other departments.In 27 out of 30 cases,patients＇ symptoms improved after confirmed diagnosing and taking emergency measures while the other 3 patients were died.Conclusion DKA started with acute abdominal pain is easily confused with acute abdomen,clinician should pay attention to DKA patients with acute abdominal pain as initial symptom to reduce misdiagnosis and mortality.
出处
《湖南中医药大学学报》
CAS
2010年第12期55-56,77,共3页
Journal of Hunan University of Chinese Medicine
