新诊断糖尿病合并严重糖尿病酮症酸中毒的弥漫性颅内出血、急性周围神经病变和急性肾损伤1例报告并文献复习

Yeon Ju Woo, H. Hong, S. Choi, Young-Lim Shin
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引用次数: 0

摘要

糖尿病酮症酸中毒(DKA)是儿童1型糖尿病(DM)的常见并发症。虽然脑水肿是DKA的主要死亡原因,但也有可能发生涉及多个系统的其他危险并发症,从而导致死亡率和发病率。在这里,我们报告一个13岁的女孩新发1型糖尿病和严重的DKA的情况。她的病情因弥漫性颅内出血、需要血液透析的急性肾损伤和周围神经病变而进一步复杂化。严重酸中毒患者需要仔细监测肾功能和神经系统并发症,这些情况应适当治疗。
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Diffuse Intracranial Hemorrhages, Acute Peripheral Neuropathy, and Acute Kidney Injury in a Newly Diagnosed Diabetes Patient with Severe Diabetic Ketoacidosis: A Case Report and Literature Review
Diabetic ketoacidosis (DKA) is a common complication associated with pediatric type 1 diabetes mellitus (DM). Although cerebral edema is the major cause of death in DKA, there is a possibility of the occurrence of other dangerous complications involving multiple systems, thereby contributing to mortality and morbidity. Herein, we report the case of a 13-year-old girl with new-onset type 1 DM and severe DKA. Her condition was further complicated by the occurrence of diffuse intracranial hemorrhages, acute kidney injury requiring hemodialysis, and peripheral neuropathy. Patients with severe acidosis require careful monitoring of kidney function and neurological complications, and these conditions should be treated appropriately.
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