5岁新发糖尿病患儿糖尿病酮症酸中毒期间的症状性低钠血症——个人经验

Symptomatic hyponatremia during the diabetic ketoacidosis in 5 years old child with new onset diabetes - own experience.

作者信息

Kącka Anna, Banach Agnieszka, Jabłońska Jolanta, Charemska Dorota, Klonowska Bożenna, Głowińska-Olszewska Barbara

机构信息

Department of Clinical Pediatrics, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Provincial Specialist Children's Hospital, Olsztyn, Poland.

Department of Pediatrics, Endocrinology, Diabetology with Cardiology Division, Medical University of Bialystok, Poland.

出版信息

Pediatr Endocrinol Diabetes Metab. 2019;25(1):48-51. doi: 10.5114/pedm.2019.84712.

DOI:10.5114/pedm.2019.84712

PMID:31343133

Abstract

Hyponatremia is the one of the most common electrolyte abnormality in the clinical practice and is associated with increased morbidity and mortality. Decreased serum sodium levels are occasionally observed in patients with diabetes mellitus, especially in those, who pre-sent with the diabetic ketoacidosis. It can develop at the each stage of a treatment, as a complication of hyperglycemia and intensity of the therapy, but also the other underlying causes should be consider. In this report we present a patient with symptomatic hyponatremia in the new diagnosed patient with type 1 diabetes mellitus.

摘要

低钠血症是临床实践中最常见的电解质异常之一，与发病率和死亡率增加相关。糖尿病患者偶尔会出现血清钠水平降低，尤其是那些患有糖尿病酮症酸中毒的患者。它可在治疗的各个阶段发生，作为高血糖和治疗强度的并发症，但也应考虑其他潜在原因。在本报告中，我们介绍了一名新诊断为1型糖尿病的患者出现症状性低钠血症的情况。