并发糖尿病酮症酸中毒的脑水肿

Cerebral oedema complicating diabetic ketoacidosis.

作者信息

McAloon J, Carson D, Crean P

机构信息

Royal Belfast Hospital for Sick Children, Northern Ireland.

出版信息

Acta Paediatr Scand. 1990 Jan;79(1):115-7. doi: 10.1111/j.1651-2227.1990.tb11343.x.

DOI:10.1111/j.1651-2227.1990.tb11343.x

PMID:2107656

Abstract

Signs of raised intracranial pressure (ICP) developed during treatment of diabetic ketoacidosis in a young child. A CT scan revealed cerebral oedema and direct measurement confirmed elevated ICP. Aggressive treatment was successful in maintaining cerebral perfusion pressure. The child survived with mild handicap in contrast to the poor outcome of previous reports.

摘要

一名幼儿在糖尿病酮症酸中毒治疗期间出现了颅内压升高（ICP）的迹象。CT扫描显示有脑水肿，直接测量证实颅内压升高。积极治疗成功维持了脑灌注压。与之前报道的不良预后相反，该患儿存活下来，仅有轻度残疾。