Clarke B F, Campbell I W
Acta Diabetol Lat. 1975 Sep-Dec;12(5-6):327-37. doi: 10.1007/BF02581105.
Diabetic ketoacidosis may be associated with a wide variety of complications, some of which are uncommon and not widely appreciated. A case of severe ketoacidosis with multiple complications including septicaemia, pneumomediastinum, gastro-intestinal haemorrhage, magnesium depletion and multiple mononeuropathy is reported in a 17-year old girl who made a successful recovery. The patient had not taken insulin for almost 4 days, had no preceding illness and was admitted in a near moribund state with hypothermia (34.2 degrees C), hypotension (80/50) and an arterial pH less than 6.8. There was a leukocytosis 41,200, the blood culture grew haemolytic streptococci and chest radiology showed pneumomediastinum. I.v. therapy was continued for some days and the patient developed clinical features of magnesium depletion. During the recovery period she developed multiple mononeuropathy. A brief review of these complications is given.
糖尿病酮症酸中毒可能与多种并发症相关，其中一些并发症并不常见，也未得到广泛认识。本文报告了一名17岁女孩的严重酮症酸中毒病例，该病例伴有多种并发症，包括败血症、纵隔气肿、胃肠道出血、镁缺乏和多发性单神经病，患者最终成功康复。该患者近4天未注射胰岛素，无前驱疾病，入院时处于濒死状态，体温过低（34.2摄氏度）、低血压（80/50），动脉血pH值低于6.8。白细胞计数为41,200，血培养发现溶血性链球菌，胸部放射学检查显示纵隔气肿。静脉治疗持续了数天，患者出现了镁缺乏的临床症状。在康复期间，她患上了多发性单神经病。本文对这些并发症进行了简要综述。
