小儿糖尿病酮症酸中毒治疗期间的亚临床脑肿胀

• 作 者: 丁关庆
• 出 处: 国外医学(儿科学分册)
• 发表日期: 1986年04期
• 关键词: 脑肿胀 酮症酸中毒 亚临床 尿酮体阳性 脑水肿 第三脑室 碳酸氢盐 血清钠 代谢性酸中毒 诊断标准

尽管在过去的几十年中对胰岛素依赖型糖尿病的认识和治疗已有一些进展,但糖尿病酮症酸中毒的发生率并未减少。酮症酸中毒并发脑水肿既无任何先兆,亦无任何预测指标,其死亡率约为90%。临床上明显脑水肿的真正发病率尚不清,但似乎不高,而亚临床脑肿胀可以是成人糖尿病酮症酸中毒治疗期间的一种普遍现象。作者研究6例小儿在酮症酸中毒治疗期间的头颅CT扫描,以确定在小儿治疗期间是否亦

Although some progress has been made in understanding and treating insulin-dependent diabetes in the past few decades, the incidence of diabetic ketoacidosis has not decreased. Ketoacidosis complicated by cerebral edema has neither any sign nor any predictive value, with a mortality rate of about 90%. The real incidence of clinically apparent cerebral edema is unclear, but not as high, and subclinical brain swelling may be a common phenomenon during adult diabetic ketoacidosis. The authors studied 6 children with craniopharyngio-CT scan during ketoacidosis to determine whether they were also treated during pediatric treatment