儿童以腹痛就诊的糖尿病酮症酸中毒10例误诊分析  

10 Cases of Diabetic Ketoacidosis Misdiagnosis of Children with Abdominal Pain

作　　者：朱红梅 ZHU Hong-mei （Wulumuqi City No.1 People＇s Hospital, Wulimuqi 830000, China）

机构地区：[1]乌鲁木齐市第一人民医院（北院）内一科,新疆乌鲁木齐830000

出　　处：《医学信息》2011年第15期5009-5010,共2页Journal of Medical Information

摘　　要：目的总结10例儿童以腹痛为主就诊的糖尿病酮症酸q-毒的误诊分析。方法对10例儿童以腹痛为主就诊的糖尿病酮症酸中毒患者．对临床资料进行回顾性分析。结果以腹痛为主的10例，其中伴有上呼吸道症状者2例，腹泻5例，食欲不振2例，小便不畅1例。经补液、纠正电解质紊乱及酸中毒，使用小剂量胰岛素0．1U／kg·h持续微量泵维持静脉注射，去除诱因等治疗均好转出院。结论儿童以腹痛就诊时，应该在详细询问病史的情况下对患者全面体检，并进行血糖、血生化、尿生化检查，可以降低临床误诊。Objective The children who misdiagnosis with abdominal pain by doctor＇s of diabetic ketoacidosis summarized of 10 cases. Methods The children with abdominal pain in patients with diabetic ketoacidosis in 10 cases of treatment, which retrospective analysis of clinical data. Results Which associated with upper respiratory symptoms in 2 cases, 5 cases of diarrhea, loss of appetite in 2 cases, 1 case of poor urine in 10 cases with abdominal pain. After rehydration, correction of electrolyte disorders and acid poisoning, use of small doses of insulin 0.1U/kg ＂h to maintain continuous intravenous injection of micro pump to remove the incentive for such treatment were improved and discharged. Conclusion When children with abdominal pain, should be asked in detail about the case history, comprehensive physical examination of patients, and blood glucose, blood biochemistry, urine biochemistry can reduce misdiagnosis.

关 键 词：DKA 腹痛 儿童 误诊 

分 类 号：R587.2[医药卫生—内分泌;医药卫生—临床医学;医药卫生—内科学]