Van de Vyver Celine, Damen Jorn, Haentjens Carl, Ballaux Dominique, Bouts Benoit
Ghent University, Gent, Belgium.
Emergency Department, AZ Nikolaas, Sint-Niklaas, Belgium.
Case Rep Emerg Med. 2017;2017:4351620. doi: 10.1155/2017/4351620. Epub 2017 Mar 26.
We present a case of diabetic ketoacidosis, known as one of the most serious metabolic complications of diabetes. We were confronted with rapid neurological deterioration and unseen glycaemic values, which reached almost 110 mmol/L, subsequently resulting in hyperkalaemia and life-threatening dysrhythmias. This is the first reported live case with such high values of blood glucose and a favourable outcome.
我们报告了一例糖尿病酮症酸中毒病例,这是糖尿病最严重的代谢并发症之一。我们面临着迅速的神经功能恶化以及前所未见的血糖值,血糖值几乎达到110毫摩尔/升,随后导致高钾血症和危及生命的心律失常。这是首例报告的血糖值如此之高且预后良好的存活病例。