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分析  

Pathogenesis of Acute Abdominal Pain in Diabetic Ketoacidosis,Points for Identification with Acute Abdomen,and Analysis of Diagnosis and Treatment Experience

作　　者：赵亮[1] ZHAO Liang(Union Medical College Hospital of Fujian Medical University,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建医科大学附属协和医院,福建福州350000

出　　处：《糖尿病新世界》2020年第9期183-185,共3页Diabetes New World Magazine

摘　　要：目的研究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。方法研究时段是2017年1月-2019年9月,研究对象是20例以急性腹痛为首发表现的糖尿病酮症酸中毒患者作为观察组,另择取同期接收的20例急腹症患者为对照组,总结分析所有患者的临床资料,比较诊断结果。结果观察组治疗有效率(70.00%)低于对照组95.00%;非手术治疗后24 h、48 h及72 h腹痛缓解率较对照组低(P<0.05)。结论患者表现为急性腹痛的糖尿病酮症酸中毒很难与急腹症鉴别,临床医师加强疾病认知能降低医疗事故发生率,便于为患者生命健康提供可靠保障。Objective To study the pathogenesis of acute abdominal pain caused by diabetic ketoacidosis,the main points of its differentiation from acute abdomen,and its experience in diagnosis and treatment.Methods The study period was 2017.1-2019.9,and the study object was 20 patients with diabetic ketoacidosis whose first manifestation was acute abdominal pain as the observation group.Another 20 patients with acute abdomen received during the same period were selected as the control group.The clinical data of the patients were compared with the diagnosis results.Results The effective rate(70.00%)in the observation group was lower than 95.00%in the control group.The abdominal pain relief rate at 24 h,48 h,and 72 h after non-surgical treatment was lower than that in the control group(P<0.05).Conclusion Diabetic ketoacidosis in patients with acute abdominal pain is difficult to distinguish from acute abdomen.Clinicians'increased awareness of the disease can reduce the incidence of medical accidents and provide a reliable guarantee for the life and health of patients.

关 键 词：糖尿病酮症酸中毒 急性腹痛 发病机制 急腹症 鉴别要点 

分 类 号：R459.7[医药卫生—急诊医学]