Burlaka Ievgeniia, Babii Serhii, Kovalchuk Ihor
Department of Pediatrics №4, Bogomolets National Medical University, Kyiv, Ukraine.
Clin Med Insights Case Rep. 2025 Sep 16;18:11795476251375551. doi: 10.1177/11795476251375551. eCollection 2025.
We present a case of a 3-year-old girl with previously diagnosed type 1 diabetes mellitus (T1DM) who was admitted in an unconscious state with severe diabetic ketoacidosis (DKA), lactic acidosis, and coma. The condition was complicated by profound dehydration, leukemoid reaction of neutrophilic type, and reactive thrombocytosis. Early intensive care management, mechanical ventilation, and insulin therapy led to stabilization and gradual recovery. This case highlights the critical importance of early recognition, aggressive management, and multidisciplinary care in pediatric patients with complicated DKA.
我们报告一例3岁女童，此前已诊断为1型糖尿病（T1DM），因严重糖尿病酮症酸中毒（DKA）、乳酸酸中毒和昏迷而意识不清入院。病情并发严重脱水、嗜中性粒细胞型类白血病反应和反应性血小板增多症。早期强化护理管理、机械通气和胰岛素治疗使病情稳定并逐渐康复。该病例突出了对患有复杂DKA的儿科患者进行早期识别、积极治疗和多学科护理的至关重要性。
