Benedetto P, Fenoglio J, Gamba S, Orecchia L, Stradoni P
Minerva Med. 1976 Apr 30;67(21):1371-6.
A case of non-ketotic hyperglycaemic-hyperosmolar diabetic coma in a 8 yr. old boy after a severe mental trauma is reported. This joins the 18 similar cases of paediatric age published up to now. On the basis of the results of virological and immunological investigations, insulinogenic function and psychodiagnosis, the diagnosis, aetiopathogenesis and therapy of this unusual event are discussed. The desirability of measuring plasma osmolarity in children diabetic coma is stressed.
报告了一例8岁男孩在遭受严重精神创伤后发生非酮症高血糖高渗性糖尿病昏迷的病例。这是迄今为止已发表的18例类似儿科病例之一。根据病毒学、免疫学检查结果、胰岛素生成功能及心理诊断结果,对这一罕见事件的诊断、病因发病机制及治疗进行了讨论。强调了在儿童糖尿病昏迷中测量血浆渗透压的必要性。