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1 病历摘要例1,男,3岁。因发热、咳嗽、食欲不振、精神差1周,呕吐、腹泻2日入院。经检查,诊断:上呼吸道感染、重度脱水、重度酸中毒。给予青霉素、氨苄青霉素和积极纠酸治疗,2天共输入1/2张溶液2000ml,葡萄糖浓度为8％,经上述治疗患儿尿量很多,但脱水酸中毒无改善,反而加重。48小时后突然昏迷。脑脊液糖定量14.25mmol/L,血糖46.16mmol/L,确诊为小儿糖尿病。尚未作尿糖和酮体检查,患儿死亡。
1 case summary 1, male, 3 years old. Due to fever, cough, loss of appetite, poor spirit for 1 week, vomiting, diarrhea, admitted to hospital on the 2nd. After examination, diagnosis: upper respiratory tract infection, severe dehydration, severe acidosis. Give penicillin, ampicillin and positive correction acid treatment, 2 days, a total of input 2000 solution 2000ml, glucose concentration of 8%, after the treatment of children with a lot of urine, but did not improve dehydration acidosis, but increased. Sudden coma after 48 hours. CSF quantitative 14.25mmol / L, blood glucose 46.16mmol / L, diagnosed as pediatric diabetes. No urine sugar and ketone examination, children died.