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出血性中风:小儿糖尿病酮症酸中毒的罕见并发症。

Hemorrhagic stroke: Uncommon complication of diabetic ketoacidosis in pediatric patients.

作者信息

Hilal Fathi, Mahdi Eman, Nada Ayman

机构信息

Department of Radiology, University of Missouri, One Hospital Dr, Columbia, MO 65212, USA.

Department of Radiology, Virginia Commonwealth University, Richmond, VA, USA.

出版信息

Radiol Case Rep. 2022 Aug 27;17(11):4059-4063. doi: 10.1016/j.radcr.2022.07.104. eCollection 2022 Nov.

Abstract

Diabetic ketoacidosis (DKA) is a well-known complication of type 1 diabetes mellitus. Diabetic ketoacidosis predisposes patients into devastating neurological complications. The most common neurologic complication is cerebral edema. Stroke either ischemic or hemorrhagic are uncommon complications of DKA with worse patient's outcome. Hemorrhagic stroke can manifest as subarachnoid or intraparenchymal hemorrhage. We present a 14-year-girl presented with DKA and complicated with both subarachnoid and intraparenchymal hemorrhages. Owing to early diagnosis and prompt treatment the patient had good outcome.

摘要

糖尿病酮症酸中毒(DKA)是1型糖尿病一种众所周知的并发症。糖尿病酮症酸中毒使患者易发生严重的神经并发症。最常见的神经并发症是脑水肿。缺血性或出血性中风是DKA的罕见并发症,患者预后较差。出血性中风可表现为蛛网膜下腔出血或脑实质内出血。我们报告一名14岁女孩,患有DKA并并发蛛网膜下腔出血和脑实质内出血。由于早期诊断和及时治疗,患者预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d06e/9440358/6c6b3217a922/gr1.jpg

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