糖尿病儿童青少年合并冠状病毒病的住院治疗策略

Q4 Medicine 中华实用儿科临床杂志 Pub Date : 2020-03-02 DOI:10.3760/CMA.J.ISSN.2095-428X.2020.02.010

Hereditary

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引用次数: 0

摘要

The epidemic situation of novel coronavirus in China is still continuing and is gradually spreading all over the world. As a susceptible population, the number of cases among children is increasing. Children with diabetes complicated with infectious diseases COVID-19 accompanied by gastrointestinal symptoms are prone to hypoglycemia risk, while infection makes it difficult to control the rise of blood sugar, which may lead to diabetes ketoacidosis (DKA) and multiple organ failure in severe cases. This article puts forward suggestions on the diagnosis and treatment of diabetes children with COVID-19 during hospitalization. While actively treating COVID-19, if combined with DKA, attention should be paid to active fluid replacement, continuous intravenous infusion of low-dose insulin, strengthened blood glucose monitoring, timely adjustment of insulin dosage, and reasonable diet.

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The inpatients treatment strategy of diabetic children and adolescents combined with coronavirus disease

我国新型冠状病毒肺炎(COVID-19)疫情仍在持续，逐渐遍布全球。儿童作为易感人群，发病人数日益增多。儿童糖尿病患者合并感染性疾病COVID-19伴有胃肠道症状患者易有低血糖风险，而感染使血糖升高难于控制，严重者可能诱发糖尿病酮症酸中毒(diabetic ketoacidosis，DKA)和多脏器功能衰竭。本文针对合并COVID-19的糖尿病患儿住院期间的诊治提出建议。在积极治疗COVID-19的同时，若合并DKA要注意积极补液、小剂量胰岛素持续静脉滴注，加强血糖监测，及时调整胰岛素用量，合理饮食。

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来源期刊

中华实用儿科临床杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

14243

期刊介绍： Chinese Journal of Applied Clinical Pediatrics ( semi-monthly ) is a core journal of paediatrics under the supervision of China Association for Science and Technology, sponsored by Chinese Medical Association and undertaken by Xinxiang Medical College. Founded in 1986, it is openly circulated both at home and abroad. The journal has several columns, such as Expert Forum, Experimental Research and Paediatric Surgery, which are mainly for paediatric medical workers and medical researchers in hospitals. Its purpose is to reflect the new theories and technologies in paediatric medicine and scientific research at home and abroad, and to promote academic exchanges. Chinese Journal of Applied Clinical Pediatrics is a source journal of China Science Citation Database (CSCD), a core journal of Peking University, a source journal of Chinese science and technology paper statistics (China Science and Technology Core Journals), a core academic journal of RCCSE, a high-quality scientific and technical journal of China, a high-quality scientific and technical journal of China Association for Science and Technology, and a high-quality scientific and technical journal of China Biomedical Science and Technology Association. We have been published in China Biomedical Literature Database (SinoMed), China Knowledge Network, Wanfang Data Knowledge Service Platform, China Academic Journal Abstracts, Scopus Database, Chemical Abstracts (USA), Japan Science and Technology Agency (JSTA) Database, Copernicus Abstracts (Poland), Abstracts of the Centre for Agricultural and Biological Sciences (CABS) of the United Kingdom, Cambridge Scientific Abstracts ProQuest Database, WHO Medical Journal of the Western Pacific Region (WMPR), and WHO Medical Journal of the Western Pacific Region (WMPR) of the United States. We have been included in dozens of authoritative databases at home and abroad, such as WHO Western Pacific Region Index of Medicine (WPRIM), Ullrich's Guide to Periodicals, and so on.