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1874年Kussmaul首先描述了“空气饥饿”(Airhunger)是糖尿病酮症酸中毒的经典症状。作者在本文中报告3例以憋气和惊慌作为酮症酸中毒的主要主诉。所有3例开始时医生均未对其作出正确判断,因而延搁了对糖尿病的正确诊断。 病例Ⅰ:52岁妇女3天前突然发作,自觉憋气、惊慌与心悸。过去曾因抑郁症而接受过治疗,故此次被诊断为癔病性换气过度并给予安定,随后转给精神病科医生处理。急诊时患者除原来症状外,尚诉体重减轻,多尿及排尿困难。实验室检查:血糖浓度32.6mmol/L。动脉血pH7.2。病人按糖尿病酮症酸中毒治疗,很快得到恢复。(病例Ⅱ、Ⅲ从略)。
In 1874 Kussmaul first described Airhunger as a classic symptom of diabetic ketoacidosis. The authors report in this paper 3 cases of suffocation and panic as the main complaint of ketoacidosis. In all three cases, no correct judgment was made by the physician at the outset, thus delaying the correct diagnosis of diabetes. Case I: 52-year-old woman suddenly attacked 3 days ago, consciously suffocating, panic and palpitations. In the past, he had been treated for depression and was diagnosed with hysterical hyperventilation and stabilization before being referred to a psychiatrist for treatment. Emergency patients in addition to the original symptoms, still suing weight loss, polyuria and dysuria. Laboratory tests: blood glucose concentration 32.6mmol / L. Arterial pH7.2. The patient was treated with diabetic ketoacidosis and quickly recovered. (Case Ⅱ, Ⅲ omitted).