Lin Kun-Der, Hsieh Ming-Chia, Hsin Shih-Chieh, Hsaio Zeng-Yueh, Hung Wei-Wen, Shin Shyi-Jang
Division of Endocrinology and Metabolism, Kaohsiung Medical University Chun-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2006 Jan;22(1):44-8. doi: 10.1016/S1607-551X(09)70220-7.
Diabetes mellitus is a worldwide disease that leads to several acute complications including diabetic ketoacidosis, hyperosmolar hyperglycemia, and hypoglycemia. In addition, diabetes causes many chronic complications that lead to debilitation and diminished quality of life. Diabetic ketoacidosis is one of the serious acute complications; however, it is usually preceded by infection, acute myocardial infarction, stroke, or other dire events. Rarely does it accompany acute arterial thrombosis. Here, we report on a female patient who suffered from diabetic ketoacidosis combined with acute brachial artery thrombosis. After emergency treatment, including insulin therapy and surgical thrombectomy, the brachial artery was rescued and her prognosis was good.
糖尿病是一种全球性疾病,可导致多种急性并发症,包括糖尿病酮症酸中毒、高渗性高血糖状态和低血糖症。此外,糖尿病还会引发许多慢性并发症,导致身体衰弱和生活质量下降。糖尿病酮症酸中毒是严重的急性并发症之一;然而,它通常在感染、急性心肌梗死、中风或其他严重事件之前发生。急性动脉血栓形成很少与之并发。在此,我们报告一例患有糖尿病酮症酸中毒合并急性肱动脉血栓形成的女性患者。经过包括胰岛素治疗和手术取栓在内的紧急治疗后,肱动脉得以挽救,患者预后良好。