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糖尿病酮症酸中毒(Diabetes ketoacidosis,DKA)是糖尿病的严重并发症。我院自1988年6月至1998年6月共收治糖尿病63例,其中并发DKA24例,分析如下。临床资料1．一般资料:63例糖尿病中,男性29例,女性34例。0~3岁7例,4~7岁15例,8~14岁41例。并发DKA24例中,男性11例,女性13例,农村17例,城镇7例。发病前已诊断糖尿病12例,已知病程1周~4年,以DKA起病12例。全部病例均符合Ⅰ型糖尿病和DKA诊断标准。2．诱因:10例以感染为诱因,包括呼吸道、泌尿道、消化道和皮肤感染;停用胰岛素7例;不明诱因7例。
Diabetes ketoacidosis (DKA) is a serious complication of diabetes. Our hospital from June 1988 to June 1998 were treated 63 cases of diabetes, including 24 cases of concurrent DKA, analysis is as follows. Clinical data 1. General information: 63 cases of diabetes, 29 males and 34 females. 0 to 3 years in 7 cases, 4 to 7 years in 15 cases, 8 to 14 years in 41 cases. In 24 cases of concurrent DKA, 11 were male, 13 were female, 17 in rural and 7 in urban areas. Diabetes diagnosed before onset in 12 cases, known course of 1 week ~ 4 years, 12 cases of onset of DKA. All cases were in line with type I diabetes and DKA diagnostic criteria. 2. Incentives: 10 cases of infection as a trigger, including respiratory tract, urinary tract, digestive tract and skin infections; disable insulin in 7 cases; unknown inducement in 7 cases.