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12例患者均以急腹症,剧烈呕吐伴血白细胞增高,急诊就医,分别诊为胰腺炎,胆囊炎,肠梗阻,急性胃肠炎,经抗炎,对症,胃肠减压等治疗效果不佳,常规测血糖显著增高,尿酮症阳性,进而检测动脉血气分析提示酸中毒才明确诊断。经积极抢救除一例年事高,并发症严重死亡外,均获成功。结论对于严重腹痛,呕吐的患者应常规测血糖,高度警惕DKA的发生。
12 patients were acute abdomen, severe vomiting with increased white blood cells, emergency medical treatment, were diagnosed as pancreatitis, cholecystitis, intestinal obstruction, acute gastroenteritis, anti-inflammatory, symptomatic, gastrointestinal decompression and other therapeutic effect is not Good, routine measurement of blood glucose was significantly higher urinary ketomatosis positive, and then detect arterial blood gas analysis showed that acidosis was diagnosed. After a positive rescue, except for one case of high age and serious complication of death, all were successful. Conclusion For patients with severe abdominal pain and vomiting, blood glucose should be routinely measured, and vigilance should be given to the occurrence of DKA.