Phuapradit W, Saropala N, Roungsipragarn R
Department of Obstetrics & Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1993 May;76(5):288-91.
Diabetic ketoacidosis, though uncommon, is a very serious complication in obstetrics. We reported 5 cases, which in retrospect could all have been prevented from occurring. Either a strong family of diabetes mellitus or presence of glycosuria were present in 4 cases. In 3 cases, the use of sympathomimetic and corticosteroid was the predisposing factor. Clinicians should have an index of suspicion in patients at risk and it might be prudent to screen for diabetes where the use of sympathomimetic and corticosteroid.
糖尿病酮症酸中毒在产科虽不常见，但却是一种非常严重的并发症。我们报告了5例病例，回顾来看这些病例本都可以预防。4例病例中有糖尿病家族史或存在糖尿。3例病例中，使用拟交感神经药和皮质类固醇是诱发因素。临床医生应对有风险的患者保持怀疑指数，在使用拟交感神经药和皮质类固醇的情况下筛查糖尿病可能是谨慎之举。
