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糖尿病酮症酸中毒:儿童1型糖尿病的先兆。

Diabetic ketoacidosis: Heralding type 1 diabetes in children.

作者信息

Alois Corinne I, Rizzolo Denise

机构信息

Corinne I. Alois is an assistant professor-industry professional in the Department of Clinical Health Professions at St. John's University in Queens, N.Y., and a guest lecturer and adjunct faculty member in the PA program at Pace University-Lenox Hill Hospital in New York, N.Y. Denise Rizzolo is an associate professor in the PA program at Kean University in Union, N.J., and assistant clinical professor at the Pace Completion Program, New York, N.Y. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2017 Jul;30(7):20-23. doi: 10.1097/01.JAA.0000520529.72764.6d.

DOI:10.1097/01.JAA.0000520529.72764.6d
PMID:28604407
Abstract

Despite advances in diabetes management, diabetic ketoacidosis (DKA) continues to be a leading cause of morbidity and mortality. Up to one-third of children may present with DKA as the original presentation of type 1 diabetes. These children develop clinical manifestations of DKA including hyperglycemia, acidosis, and ketosis. Clinicians must be able to identify those patients at risk, recognize common signs and symptoms, and start prompt management.

摘要

尽管糖尿病管理取得了进展,但糖尿病酮症酸中毒(DKA)仍然是发病和死亡的主要原因。多达三分之一的儿童可能以DKA作为1型糖尿病的最初表现。这些儿童会出现DKA的临床表现,包括高血糖、酸中毒和酮症。临床医生必须能够识别那些有风险的患者,识别常见的体征和症状,并开始及时治疗。

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