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3年来我院收治妊娠合并糖尿病患者7例,其中2例为酮症酸中毒,在首诊中均为误诊,为吸取教训,报道如下。例1,23岁,因停经7月余呼吸加快2天,腹痛1天,反应迟钝6小时入院。体检:患者嗜睡,精神萎靡,半昏迷状态,中度脱水,呼吸深快,呼出气味呈烂苹果味。心肺听诊无异常,子宫增大与妊娠月份相符,胎心音正常,腹软,有不固定压痛,无反跳痛,询问病史,无多饮多尿现象。初诊为“妊娠合并急性腹膜炎”。给保胎,抗感染等治疗后,患者烦躁,呼吸加快加深,呼之
3 years in our hospital admitted to pregnancy with diabetes mellitus in 7 cases, of which 2 cases of ketoacidosis, are misdiagnosed in the first visit, to learn the lessons, reported as follows. Cases 1,23 years old, due to menopause in July more than 2 days to breathe, abdominal pain, 1 day, 6 hours admitted to hospital unresponsive. Physical examination: patients drowsiness, apathetic, semi-unconscious, moderate dehydration, deep breathing, exhaled smell was rotten apple flavor. Cardiopulmonary auscultation was normal, uterine enlargement consistent with the month of pregnancy, fetal heart sound normal, abdominal soft, there is no fixed tenderness, no rebound pain, ask history, no polyhydration of urine phenomenon. Newly diagnosed as “pregnancy complicated with acute peritonitis”. To the miscarriage, anti-infective and other treatment, the patient irritability, to accelerate the deepening of breathing, call it