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目的分析糖尿病酮症酸中毒(DKA)误诊的原因及治疗体会。方法回顾性分析23例DKA临床资料。结果 11例误诊为急性胃炎/急性胃肠炎、3例误诊为脑卒中、3例误诊为酒精中毒、2例误诊为急性胆囊炎、2例误诊为晚期肿瘤、1例误诊为急性胰腺炎、1例误诊为ACS。结论 DKA由于其临床表现复杂多样,极易误诊,提高对DKA的认识,全面综合分析,可降低误诊漏诊率;掌握DKA抢救要领,才能降低病死率。
Objective To analyze the causes and treatment of misdiagnosis of diabetic ketoacidosis (DKA). Methods Retrospective analysis of 23 cases of DKA clinical data. Results 11 cases were misdiagnosed as acute gastritis / acute gastroenteritis, 3 cases misdiagnosed as stroke, 3 cases misdiagnosed as alcoholism, 2 cases misdiagnosed as acute cholecystitis, 2 cases misdiagnosed as advanced tumors, 1 case misdiagnosed as acute pancreatitis, One patient was misdiagnosed as ACS. Conclusion Due to its complex and diverse clinical manifestations, DKA can be easily misdiagnosed and improve the understanding of DKA. A comprehensive and comprehensive analysis can reduce the misdiagnosis and missed diagnosis rate; master DKA rescue methods to reduce mortality.