Rumbak M J, Hughes T A, Kitabchi A E
Department of Medicine, University of Tennessee, Memphis.
Am J Emerg Med. 1991 Jan;9(1):61-3. doi: 10.1016/0735-6757(91)90019-g.
A 24-year-old newly diagnosed male patient with diabetes presented with diabetic ketoacidosis (DKA) (pH 7.16, HCO3 6.0) and extreme hypertriglyceridemia (239.35 mmol/L). The diagnosis of DKA was delayed because of the apparent depression of the true serum glucose (to 11 mmol/L). He was treated with intravenous (IV) insulin and rehydration, which normalized his pH, HCO3, and triglyceride levels. To the authors' knowledge, this is both the highest triglyceride level recorded and the first report of a high triglyceride level as the apparent cause of a factitiously low glucose level.
一名24岁新诊断的糖尿病男性患者出现糖尿病酮症酸中毒（DKA）（pH 7.16，HCO3 6.0）和极高的甘油三酯血症（239.35 mmol/L）。由于实测血清葡萄糖明显降低（至11 mmol/L），DKA的诊断被延误。他接受了静脉注射胰岛素和补液治疗，其pH、HCO3和甘油三酯水平恢复正常。据作者所知，这是有记录以来最高的甘油三酯水平，也是首例将高甘油三酯水平作为假性低血糖明显原因的报告。
