国际内分泌代谢杂志
國際內分泌代謝雜誌
국제내분비대사잡지
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2010年
6期
421-423
,共3页
曹凤林%毕铮铮%谷光宇%郑少雄
曹鳳林%畢錚錚%穀光宇%鄭少雄
조봉림%필쟁쟁%곡광우%정소웅
暴发性1型糖尿病%HbA1c%C肽%急性胰腺炎
暴髮性1型糖尿病%HbA1c%C肽%急性胰腺炎
폭발성1형당뇨병%HbA1c%C태%급성이선염
Fulminant type 1 diabetes%HbA1c%C peptide%Acute pancreatitis
暴发性1型糖尿病是1型糖尿病的一个少见亚型,主要特征是短时期内(多数<7 d)急骤出现极度增高的血糖、严重的糖尿病酮症酸中毒以及水、电和酸碱平衡紊乱,病情危重凶险,发病时糖化血红蛋白A1c水平几乎正常,胰岛素自身抗体多阴性,胰岛β细胞功能完全破坏,血清C肽水平很低,治疗必须应用胰岛素.
暴髮性1型糖尿病是1型糖尿病的一箇少見亞型,主要特徵是短時期內(多數<7 d)急驟齣現極度增高的血糖、嚴重的糖尿病酮癥痠中毒以及水、電和痠堿平衡紊亂,病情危重兇險,髮病時糖化血紅蛋白A1c水平幾乎正常,胰島素自身抗體多陰性,胰島β細胞功能完全破壞,血清C肽水平很低,治療必鬚應用胰島素.
폭발성1형당뇨병시1형당뇨병적일개소견아형,주요특정시단시기내(다수<7 d)급취출현겁도증고적혈당、엄중적당뇨병동증산중독이급수、전화산감평형문란,병정위중흉험,발병시당화혈홍단백A1c수평궤호정상,이도소자신항체다음성,이도β세포공능완전파배,혈청C태수평흔저,치료필수응용이도소.
Fulminant type 1 diabetes is a seldom seen subtype of type 1 diabetes. Its main features are that blood glucose increases excessively in a short time (mostly within 7 days), with severe diabetic ketoacidosis,disturbance of hydro-electrolytes and acid-base disbalance. Patient's condition is severe and dangerous. The level of HbA1c is almost normal at onset, and insulin autoantibodies are mostly negative. The function of β cells is destroyed completely and serum C peptide is so low that patients must be treated with insulin.