Langevin Catherine, Lamarche Caroline, Bell Robert Z, Vallée Michel
Department of Nephrology, Maisonneuve-Rosement Hospital, Montreal, QC, Canada.
Int J Gen Med. 2015 Sep 18;8:297-301. doi: 10.2147/IJGM.S87521. eCollection 2015.
Thrombotic complications figure among the most frequent causes of mortality in diabetic ketoacidosis (DKA) and hyperosmolar state. We report the case of a 55-year-old woman presenting with DKA whereby a newly discovered patent foramen ovale was found due in part to the observation of bilateral deep vein thrombosis in legs, bilateral multiple pulmonary embolisms, and left subclavian acute artery thrombosis. Diabetes is known as a hypercoagulability state, and DKA is rising as a risk factor for vascular events. The importance of prophylactic anticoagulation should be emphasized in this setting.
血栓形成并发症是糖尿病酮症酸中毒（DKA）和高渗状态中最常见的死亡原因之一。我们报告了一例55岁患有DKA的女性病例，该病例中发现了一个新的卵圆孔未闭，部分原因是观察到双侧下肢深静脉血栓形成、双侧多发性肺栓塞以及左锁骨下动脉急性血栓形成。糖尿病是一种高凝状态，而DKA正逐渐成为血管事件的一个危险因素。在这种情况下应强调预防性抗凝的重要性。
