世界最新医学信息文摘(连续型电子期刊)
世界最新醫學信息文摘(連續型電子期刊)
세계최신의학신식문적(련속형전자기간)
World Latest Medicine Information
2015年
66期
242-242,243
,共2页
吕树泉%刘爱茹%张淑芳%苏秀海%郭瑞卿
呂樹泉%劉愛茹%張淑芳%囌秀海%郭瑞卿
려수천%류애여%장숙방%소수해%곽서경
糖尿病酮症酸中毒%BNP%1 型糖尿病%心肌酶
糖尿病酮癥痠中毒%BNP%1 型糖尿病%心肌酶
당뇨병동증산중독%BNP%1 형당뇨병%심기매
Diabetic ketoacidosis%B-type natriuretic peptide%Type 1 diabetic mellitus%Cardiac enzymes
患者男,35岁,因恶心、呕吐3天,加重伴上腹疼痛10小时入院。既往体健。入院查体,血压低,皮肤干燥,呼吸深大,反应迟钝,心率增快,四肢冰冷。实验室检查代谢性酸中毒,血糖明显升高,尿酮体阳性,心肌酶异常, BNP 明显升高。诊断为1型糖尿病、糖尿病酮症酸中毒。
患者男,35歲,因噁心、嘔吐3天,加重伴上腹疼痛10小時入院。既往體健。入院查體,血壓低,皮膚榦燥,呼吸深大,反應遲鈍,心率增快,四肢冰冷。實驗室檢查代謝性痠中毒,血糖明顯升高,尿酮體暘性,心肌酶異常, BNP 明顯升高。診斷為1型糖尿病、糖尿病酮癥痠中毒。
환자남,35세,인악심、구토3천,가중반상복동통10소시입원。기왕체건。입원사체,혈압저,피부간조,호흡심대,반응지둔,심솔증쾌,사지빙랭。실험실검사대사성산중독,혈당명현승고,뇨동체양성,심기매이상, BNP 명현승고。진단위1형당뇨병、당뇨병동증산중독。
ABSTRACT:A male patient at age of 35 years was admitted to the hospital,because of nausea, vomiting 3 days, increased with upper abdominal pain 10 hours of admission. A healthy. Physical examination, blood pressure is low, the skin is dry, the deep breathing, slow reaction, increased heart rate, cold limbs. Laboratory examination of metabolic acidosis, blood glucose increased significantly, urine ketone body positive, abnormal cardiac enzyme, BNP increased significantly. A diagnosis of type 1 diabetes mellitus, diabetic ketoacidosis.