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糖尿病伴乳酸性酸中毒我国少见,而年轻患者,无糖尿病史,无服双胍类药物史的特发性乳酸性中毒更少见,现报告一例。 患者男,20岁,因乏力,呕吐一天。神志不清一小时,于1991年12月31日入院。患者既往无心、肺、肝、肾疾病。无糖尿病及口服双胍类药物史。也无服毒史。体检:深昏迷,无酮味,唇缨红,呼吸深长。发育较差,鸡胸,双侧隐睾,巩膜无黄染,瞳孔等大,对光反射存。病理征未引出。实验室检查:Hb149g/L,WBC24×10~9/L,血糖17.7mmol/L。尿糖阳性(卌),尿酮体阴性。血气分析:pH6.6,HCO~(-)3.3mmol/L,
Diabetes with lactic acidosis rare in our country, and young patients, no history of diabetes, no history of idiopathic biguanide drug lactic acidosis is rare, a report is now reported. Male patient, 20 years old, due to fatigue, vomiting a day. Confused for an hour, admitted on December 31, 1991. Past patients with heartless, lung, liver and kidney disease. No diabetes and oral biguanide drug history. No drug history. Physical examination: deep coma, non-ketones, red lips, deep breathing. Poor development, chicken breast, bilateral cryptorchidism, sclera no yellow dye, pupils and other large, light reflex deposit. Pathological sign did not lead. Laboratory tests: Hb149g / L, WBC24 × 10 ~ 9 / L, blood glucose 17.7mmol / L. Positive urine sugar (卌), urine ketone body negative. Blood gas analysis: pH6.6, HCO ~ (-) 3.3mmol / L,