de Alencar Júlio César Garcia, da Silva Geovane Wiebelling, Ribeiro Sabrina Correa da Costa, Marchini Júlio Flavio Meirelles, Neto Rodrigo Antonio Brandao, de Souza Heraldo Possolo
São Paulo University, Department of Emergency Medicine, São Paulo, Brazil.
Clin Pract Cases Emerg Med. 2019 Nov 15;4(1):26-28. doi: 10.5811/cpcem.2019.9.43624. eCollection 2020 Feb.
The clinical presentation of diabetic ketoacidosis in pregnancy (DKP) is similar to that observed in nonpregnant women, although reports suggest the presenting blood glucose level may not be as high. It is hypothesized that lower, maternal fasting glucose levels are a result of both the fetus and the placenta consuming glucose. We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus.
妊娠糖尿病酮症酸中毒（DKP）的临床表现与非妊娠女性相似，不过有报告显示，其就诊时的血糖水平可能没那么高。据推测，孕妇空腹血糖水平较低是胎儿和胎盘消耗葡萄糖所致。我们报告了一例38岁、孕2产0、有1次流产史的1型糖尿病女性发生血糖正常的糖尿病酮症酸中毒的病例，并回顾了关于DKP的文献，重点关注母亲和胎儿的诊断、治疗及监测。
