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目的:减少临床急腹症合并糖尿病酮症酸中毒的误诊发生。方法:回顾性分析10例患者临床资料,探讨急腹症合并糖尿病酮症酸中毒的发生原因、临床表现、诊断要点及治疗。结果:10例患者均以腹痛为首发病症,均未诉有糖尿病史、均为在诊疗过程中出现糖尿病酮症酸中毒,经胰岛素治疗后缓解。结论:对于急腹症患者,尤其是年轻患者要注意糖尿病的筛查,减少误诊的发生。
Objective: To reduce the misdiagnosis of clinical acute abdomen with diabetic ketoacidosis. Methods: The clinical data of 10 patients were retrospectively analyzed to investigate the causes, clinical manifestations, diagnosis points and treatment of acute ketosis with diabetic ketoacidosis. Results: All the 10 patients had abdominal pain as the first symptom. None of them had any history of diabetes mellitus. All of them were diabetic ketoacidosis in the course of diagnosis and treatment and were relieved after insulin therapy. Conclusion: For patients with acute abdomen, especially young patients should pay attention to the screening of diabetes to reduce the incidence of misdiagnosis.