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糖尿病酮症酸中毒治疗中并发的脑水肿。

Cerebral edema complicating therapy for diabetic ketoacidosis.

作者信息

Duck S C, Weldon V V, Pagliara A S, Haymond M W

出版信息

Diabetes. 1976 Feb;25(2):111-5. doi: 10.2337/diab.25.2.111.

DOI:10.2337/diab.25.2.111
PMID:814023
Abstract

Four cases of cerebral edema associated with therapy for diabetic ketoacidosis are reported. One patient had an inappropriate ADH-like syndrome at the time of onset of clinical symptoms of cerebral edema; he survived. The remaining patients had hyponatremia at or near the time of onset of clinical symptoms of cerebral edema, and they subsequently died. The literature is reviewed and some aspects of therapy, which might be casually related to cerebral edema observed in association with therapy of diabetic ketoacidosis, are discussed.

摘要

报告了4例与糖尿病酮症酸中毒治疗相关的脑水肿病例。1例患者在脑水肿临床症状出现时伴有不适当抗利尿激素样综合征,存活下来。其余患者在脑水肿临床症状出现时或接近出现时伴有低钠血症,随后死亡。对相关文献进行了综述,并讨论了可能与糖尿病酮症酸中毒治疗中观察到的脑水肿偶然相关的治疗方面。

相似文献

1
Cerebral edema complicating therapy for diabetic ketoacidosis.糖尿病酮症酸中毒治疗中并发的脑水肿。
Diabetes. 1976 Feb;25(2):111-5. doi: 10.2337/diab.25.2.111.
2
Factors predicting cerebral edema in young children with diabetic ketoacidosis and new onset type I diabetes.预测糖尿病酮症酸中毒和新诊断1型糖尿病幼儿脑水肿的因素。
Acta Paediatr. 1997 Jun;86(6):626-31. doi: 10.1111/j.1651-2227.1997.tb08946.x.
3
[Acute cerebral edema complicating therapy for diabetic ketoacidosis in children ].[儿童糖尿病酮症酸中毒治疗并发急性脑水肿]
Arch Fr Pediatr. 1982 Jun-Jul;39(6):375-7.
4
Treatment of diabetic ketoacidosis and the risk of cerebral edema.糖尿病酮症酸中毒的治疗与脑水肿风险
J Pediatr. 2008 Jan;152(1):146-7; author reply 147-9. doi: 10.1016/j.jpeds.2007.09.015.
5
Increased cerebrospinal fluid pressure during therapy for diabetic acidosis.糖尿病酸中毒治疗期间脑脊液压力升高。
Trans Assoc Am Physicians. 1971;84:102-12.
6
Ketoacid levels may alter osmotonicity in diabetic ketoacidosis and precipitate cerebral edema.酮酸水平可能会改变糖尿病酮症酸中毒中的渗透压,并引发脑水肿。
Arch Dis Child. 2003 Apr;88(4):366. doi: 10.1136/adc.88.4.366-a.
7
Cerebral edema complicating diabetic ketoacidosis in childhood.
J Pediatr. 1980 Mar;96(3 Pt 1):357-61. doi: 10.1016/s0022-3476(80)80672-x.
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The lethargic diabetic: cerebral edema in pediatric patients in diabetic ketoacidosis.嗜睡的糖尿病患者:糖尿病酮症酸中毒患儿的脑水肿
Air Med J. 2015 Mar-Apr;34(2):109-12. doi: 10.1016/j.amj.2014.10.009.
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Cerebral oedema in childhood diabetic ketoacidosis: is treatment a factor?儿童糖尿病酮症酸中毒中的脑水肿:治疗是一个因素吗?
Emerg Med J. 2004 Mar;21(2):141-4. doi: 10.1136/emj.2002.001578.
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[Diabetic ketoacidosis--beware of cerebral edema!].[糖尿病酮症酸中毒——谨防脑水肿!]
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Quantifying the Deficits of Body Water and Monovalent Cations in Hyperglycemic Emergencies.量化高血糖急症中机体水分和单价阳离子的缺失情况。
J Clin Med. 2024 Dec 25;14(1):25. doi: 10.3390/jcm14010025.
2
Brain injury in children with diabetic ketoacidosis: Review of the literature and a proposed pathophysiologic pathway for the development of cerebral edema.儿童糖尿病酮症酸中毒相关脑损伤:文献综述及脑水肿发生的病理生理学机制探讨。
Pediatr Diabetes. 2021 Mar;22(2):148-160. doi: 10.1111/pedi.13152. Epub 2020 Dec 3.
3
Fluid management in pediatric patients with DKA and rates of suspected clinical cerebral edema.
糖尿病酮症酸中毒患儿的液体管理及疑似临床脑水肿的发生率
Pediatr Diabetes. 2015 Aug;16(5):338-44. doi: 10.1111/pedi.12268. Epub 2015 Mar 19.
4
Management of diabetic ketoacidosis in children.儿童糖尿病酮症酸中毒的管理
West J Med. 1977 Aug;127(2):138-40.
5
Cerebral oedema in childhood diabetic ketoacidosis: is treatment a factor?儿童糖尿病酮症酸中毒中的脑水肿:治疗是一个因素吗?
Emerg Med J. 2004 Mar;21(2):141-4. doi: 10.1136/emj.2002.001578.
6
Management of hyperosmolar coma.高渗性昏迷的管理
J R Soc Med. 1980 Feb;73(2):134-8. doi: 10.1177/014107688007300211.
7
Current concepts in the pathophysiology and management of diabetic ketoacidosis.糖尿病酮症酸中毒的病理生理学与管理的当前概念
Indian J Pediatr. 1983 Jan-Feb;50(402):43-7. doi: 10.1007/BF02753439.
8
Diabetic ketoacidosis: current views on pathogenesis and treatment.糖尿病酮症酸中毒:关于发病机制与治疗的当前观点
Diabetologia. 1986 Feb;29(2):71-7. doi: 10.1007/BF00456113.
9
Plasma arginine vasopressin in diabetic ketoacidosis.糖尿病酮症酸中毒中的血浆精氨酸加压素
Diabetologia. 1979 Feb;16(2):93-6. doi: 10.1007/BF01225456.