Monabeka Henri Germain, Mbika-Cardorelle Aurore, Moyen Georges
Service des maladies métaboliques et endocriniennes, CHU Brazzaville, BP 32, Brazzaville, Congo.
Sante. 2003 Jul-Sep;13(3):139-41.
Diabetes mellitus is frequent in African children and adolescents. Its treatment faces some problems and complications. Ketoacidosis is among the main complications and its prognosis is bad. This retrospective study reports 93 cases of young patients observed over 10 years. It aims at presenting the characteristics of ketoacidosis in Brazzaville. The results of this study have reported ketoacidosis in 79.3% of the cases. Stopping the treatment (48.1%) and infections (28.6%) were the main factors. In 18.3% of the cases, the disease started by ketoacidosis. Despite the high mortality rate (18.2%), a favourable evolution was observed in 83.3% of the cases. It is the first cause of death in children suffering Diabetes mellitus in the Department for diabetes mellitus and endocrine diseases at Brazzaville University Hospital. Health education of both parents and children, a qualified personnel should help reduce the frequency of this complication.
糖尿病在非洲儿童和青少年中很常见。其治疗面临一些问题和并发症。酮症酸中毒是主要并发症之一，其预后较差。这项回顾性研究报告了10年间观察到的93例年轻患者。其目的是呈现布拉柴维尔酮症酸中毒的特征。该研究结果报告79.3%的病例出现酮症酸中毒。停止治疗（48.1%）和感染（28.6%）是主要因素。18.3%的病例以酮症酸中毒起病。尽管死亡率较高（18.2%），但83.3%的病例病情呈良性发展。在布拉柴维尔大学医院糖尿病和内分泌疾病科，它是糖尿病患儿的首要死因。对家长和孩子进行健康教育，应由专业人员帮助降低这种并发症的发生率。
