Emder P J, Howard N J, Rosenberg A R
Nephron. 1986;44(4):355-7. doi: 10.1159/000184019.
An unusual case of diabetes secondary to acute pancreatitis in a boy with end-stage renal failure receiving continuous ambulatory peritoneal dialysis (CAPD) is described. A hyperglycaemic, hyperosmolar pre-coma developed, aggravated by associated hypercalcaemia. The glucose content of the dialysis fluid contributed to the hyperglycaemia, which settled as the pancreatitis resolved and lower glucose concentration dialysis fluid was used. Our experience suggests that pancreatic dysfunction should be considered where significant hyperglycaemia occurs during peritoneal dialysis.
本文描述了一名患有终末期肾衰竭且正在接受持续性非卧床腹膜透析（CAPD）的男孩继发于急性胰腺炎的罕见糖尿病病例。患者出现了高血糖、高渗性昏迷前期，伴有高钙血症加重了病情。透析液中的葡萄糖含量导致了高血糖，随着胰腺炎的好转以及使用较低葡萄糖浓度的透析液，高血糖情况得以缓解。我们的经验表明，在腹膜透析过程中出现显著高血糖时，应考虑胰腺功能障碍。
