糖尿病酮症酸中毒患儿的严重高钾血症:病例报告

S. Sumithra, PDiksha Kaveriappa, PY Namratha Upadhya, NKavitha Bhat
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引用次数: 0

摘要

一名患有 1 型糖尿病和自身免疫性甲状腺功能减退症的 16 岁男孩出现了糖尿病酮症酸中毒(DKA)和严重的高钾血症,肾功能检查正常,胰岛素输注从 0.1u/kg/hr 增加到 0.3u/kg/hr 后,高钾血症缓解。但该病例需要更高的胰岛素输注率才能恢复正常血钾水平,这表明胰岛素不足本身也可能是导致 DKA 患者高钾血症的原因之一。
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Severe hyperkalemia in a child with diabetic ketoacidosis: A case report
A 16-year-old boy with type 1 Diabetes Mellitus and autoimmune hypothyroidism presented with Diabetic Ketoacidosis (DKA) and severe hyperkalemia .Renal Function test were normal .Hyperkalemia resolved after increasing insulin infusion from 0.1u/kg /hr to 0.3u/kg/hr.Hyperkalemia in DKA is thought to be due to compromised renal function secondary to hypovolemia. But the higher Insulin rate needed to restore normal potassium level in this case , suggests that insulin deficit in itself could be one of the causes for hyperkalemia in DKA .
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审稿时长
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