一名青春期孕妇新发胰岛素依赖型糖尿病并伴有糖尿病酮症酸中毒。
New-onset IDDM presenting with diabetic ketoacidosis in a pregnant adolescent.
作者信息
Sills I N, Rapaport R
机构信息
Department of Pediatrics, UMD-New Jersey Medical School, Newark.
出版信息
Diabetes Care. 1994 Aug;17(8):904-5. doi: 10.2337/diacare.17.8.904.
OBJECTIVE
To describe the presentation of insulin-dependent diabetes mellitus (IDDM) as ketoacidosis during pregnancy in a teenager.
CASE
A 14-year-old pregnant girl presented with ketoacidosis (bicarbonate 14 nM, 14 meq/l, pH 7.27, glucose 67 mM, 1,208 mg/dl) during the last month of pregnancy with a fetal demise. Two years of follow-up has confirmed that she has IDDM.
CONCLUSIONS
Diabetes presenting in pregnant adolescents is likely due to IDDM. Immediate insulin therapy and proper education about managing diabetes should be initiated to hopefully prevent the outcome described in this patient.
目的
描述一名青少年在孕期以酮症酸中毒形式出现的胰岛素依赖型糖尿病（IDDM）。
病例
一名14岁的怀孕女孩在妊娠最后一个月出现酮症酸中毒（碳酸氢盐14 nM，14 meq/l，pH 7.27，葡萄糖67 mM，1208 mg/dl），胎儿已死亡。两年的随访证实她患有IDDM。
结论
怀孕青少年中出现的糖尿病很可能是由于IDDM。应立即开始胰岛素治疗并进行关于糖尿病管理的适当教育，以期预防该患者所描述的结局。
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