一名先前未知存在因子V莱顿缺乏杂合性的儿童在糖尿病酮症酸中毒时发生致命性脑梗死。
Fatal cerebral infarctions in diabetic ketoacidosis in a child with previously unknown heterozygosity for factor V Leiden deficiency.
作者信息
Rosenbloom Arlan L
机构信息
Division of Endocrinology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, USA.
出版信息
J Pediatr. 2004 Oct;145(4):561-2. doi: 10.1016/j.jpeds.2004.05.044.
PMID:15480386
Abstract
An 11-year-old boy with poorly controlled diabetes had sudden collapse after the development of lower extremity deep venous thrombosis, with fatal cerebral infarctions. He was heterozygous for factor V Leiden deficiency. This case emphasizes the value of cranial imaging after initial resuscitative treatment of neurologic collapse in diabetic ketoacidosis.
摘要
一名11岁糖尿病控制不佳的男孩在发生下肢深静脉血栓形成后突然晕倒，并发致命性脑梗死。他为因子V莱顿缺乏杂合子。该病例强调了在糖尿病酮症酸中毒导致神经源性休克的初始复苏治疗后进行头颅影像学检查的价值。
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