糖尿病酮症酸中毒(DKA),为小儿糖尿病死亡的主要原因。本文介绍近30年儿科住院病儿DKA40例,并就其有关问题进行分析讨论。 1临床资料 1.1 一般资料:40例中男18例,女22例;发病年龄为14月至12岁,7至12岁者发病最多25例(63％)。有明显发病诱因者2例,包括感染(上感、颌下淋巴结炎、肠炎、肺炎),骤停胰岛素、甜食过多或淋雨等。8例有家族史,其中4例为同胞姐妹。 Diabetic ketoacidosis (DKA) is the leading cause of diabetes in children. This article describes the nearly 30 years pediatric inpatient DKA40 cases, and its related issues were analyzed and discussed. 1 Clinical data 1.1 General Information: 40 cases of 18 males and 22 females; the age of onset was 14 months to 12 years of age, 7 to 12 years of age up to 25 cases (63%). There are two obvious causes of the onset of infection, including infection (upper sense, submandibular lymphadenitis, enteritis, pneumonia), arresting insulin, excessive sweet or rain and so on. Eight patients had a family history of which four were siblings.