糖尿病酮症酸中毒患儿难治性代谢性酸中毒和急性肾损伤的挑战性管理
Challenging Management of Refractory Metabolic Acidosis and Acute Kidney Injury in a Child with Diabetic Ketoacidosis.
作者信息
Jain Reena, Kumar Pankaj
机构信息
Department of Pediatrics, Government Medical College and Hospital, Chandigarh, India.
出版信息
Indian J Crit Care Med. 2020 Jun;24(6):475-476. doi: 10.5005/jp-journals-10071-23449.
Abstract
Diabetic ketoacidosis (DKA) is the most serious complication of type I diabetes mellitus (DM) in children. Majority of these patients respond to fluid resuscitation, insulin, and supportive measures and rarely require renal replacement therapy. Here, we report the case of a young girl with DKA with severe refractory metabolic acidosis and acute kidney injury (AKI) and was successfully managed with renal replacement therapy. Jain R, Kumar P. Challenging Management of Refractory Metabolic Acidosis and Acute Kidney Injury in a Child with Diabetic Ketoacidosis. Indian J Crit Care Med 2020;24(6):475-476.
摘要
糖尿病酮症酸中毒（DKA）是儿童1型糖尿病（DM）最严重的并发症。这些患者中的大多数对液体复苏、胰岛素及支持性措施有反应，很少需要肾脏替代治疗。在此，我们报告一例患有DKA、严重难治性代谢性酸中毒和急性肾损伤（AKI）的年轻女孩，通过肾脏替代治疗成功得到救治。 Jain R，Kumar P。糖尿病酮症酸中毒患儿难治性代谢性酸中毒和急性肾损伤的挑战性管理。《印度重症医学杂志》2020年；24（6）：475 - 476。
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