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以腹痛为首发症状的糖尿病酮症酸中毒(DKA),临床表现复杂,极易误诊。我院自1994年1月至1997年10月收治的16例,其中男7例,女9例。年龄17～40岁,平均年龄29.5岁。误诊疾病有:急性胰腺炎(AP)3例,急性胃肠炎3例,肾结石2例,胆道感染2例,麻痹性肠梗阻3例,重症肺炎1例,消化性溃疡2例。本组有糖尿病史5例,其中2例停用胰岛素2个月,3例不规则应用胰岛素和口服降糖药,4例在治疗过程中应用高渗葡萄糖。本组有暴
The first symptom of abdominal pain as diabetic ketoacidosis (DKA), the clinical manifestations of complex, easily misdiagnosed. Our hospital from January 1994 to October 1997 admitted to 16 cases, including 7 males and 9 females. Age 17 to 40 years old, average age 29.5 years old. Misdiagnosed diseases are: acute pancreatitis (AP) in 3 cases, acute gastroenteritis in 3 cases, 2 cases of kidney stones, biliary tract infection in 2 cases, paralytic ileus in 3 cases, severe pneumonia in 1 case, peptic ulcer in 2 cases. The group had a history of diabetes in 5 cases, of which 2 patients stopped using insulin for 2 months, 3 cases of irregular use of insulin and oral hypoglycemic agents, 4 cases of hypertonic glucose used in the treatment process. This group has violence