糖尿病酮症酸中毒和高血糖高渗状态的管理:ISPAD指南(2022版)解读  

Management of diabetic ketoacidosis and hyperglycemic hyperosmolar states:an interpretation of the ISPAD guidelines(2022 edition)

作　　者：赵仕国 张晨美[1] 吴蔚[2] 谢倩茹 何玮梅 Zhao Shiguo;Zhang Chenmei;Wu Wei;Xie Qianru;He Weimei(Department of Pediatric Intensive Care Unit,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China;Department of Endocrinology,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China;Department of Heart Failure/Mechanically Assisted Circulation Unit,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China;Department of Shao Yi-fu International Medical Center,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院儿科重症监护室国家儿童健康与疾病临床医学研究中心,杭州310052 [2]浙江大学医学院附属儿童医院内分泌科国家儿童健康与疾病临床医学研究中心,杭州310052 [3]浙江大学医学院附属儿童医院心衰/机械辅助循环科国家儿童健康与疾病临床医学研究中心,杭州310052 [4]浙江大学医学院附属儿童医院邵逸夫国际医学中心国家儿童健康与疾病临床医学研究中心,杭州310052

出　　处：《中国小儿急救医学》2024年第12期881-887,共7页Chinese Pediatric Emergency Medicine

基　　金：国家重点研发计划(2021YFC2701800, 2021YFC2701801)。

摘　　要：2022年国际儿童和青少年糖尿病学会(ISPAD)成立了一个来自多学科的国际专家小组, 共同为患有糖尿病酮症酸中毒和高血糖高渗状态的儿童和青少年(18岁以下)制定了2022年ISPAD临床实践共识指南。本文旨在对该指南进行解读, 以期为我国儿童和青少年的糖尿病酮症酸中毒和高血糖高渗状态诊断与管理提供新的临床参考依据。In 2022,the International Society for Pediatric and Adolescent Diabetes(ISPAD)set up an international expert group from many disciplines to jointly formulate a consensus guide for clinical practice of ISPAD in 2022 for children and adolescents(under 18 years old)with diabetic ketoacidosis and hyperglycemic hyperosmolar state.The purpose of this paper was to interpret the ISPAD guidelines,so as to provide the new clinical reference for diagnosis and management of diabetic ketoacidosis and heperglycemic hyperosmolar state in children and adolescents in China.

关 键 词：儿童 青少年 糖尿病酮症酸中毒 高血糖高渗状态 专家共识 指南 

分 类 号：R58[医药卫生—内分泌]