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糖尿病酮症酸中毒治疗期间发生脑水肿是糖尿病儿童的一种少见而重要的病死原因。本文报告一例严重脑水肿的存活儿童,他是在治疗酮症酸中毒期间发生脑水肿的,随后患有生长激素(GH)缺乏。 女孩,4岁8个月。因典型的糖尿病酮症酸中毒症状就诊。患儿嗜睡,仅有痛觉反应。体重1.44kg,脱水。血糖28.5mmol/l,血输129mmol/l,血钾4.5mmol/l,血氯101mmol/l,碳酸氢盐3 mmol/l,BUN14mmol/l。红细胞压积45％,动脉血气分析pH6.98,Po_28.1KPa(61mmHg),Pco_21.87KPa(14mmHg)。血清稀释1:16时
Diabetic ketoacidosis occurs during treatment of cerebral edema in children with diabetes is a rare and important cause of death. This article reports a case of a surviving child with severe brain edema who developed cerebral edema during ketoacidosis followed by a lack of growth hormone (GH). Girl, 4 years and 8 months. Due to the typical symptoms of diabetic ketoacidosis treatment. Children drowsiness, only pain reaction. Weight 1.44kg, dehydrated. Blood glucose 28.5mmol / l, blood transfusion 129mmol / l, serum potassium 4.5mmol / l, blood chloride 101mmol / l, bicarbonate 3mmol / l, BUN14mmol / l. 45% of hematocrit, arterial blood gas analysis of pH6.98, Po_28.1KPa (61mmHg), Pco_21.87KPa (14mmHg). Serum dilution 1:16