A fatal outcome of complicated severe diabetic ketoacidosis in a 11-year-old girl

被引：0

作者：

Severinski, Srecko ^{[1
]}

Ahel, Ivona Butorac ^{[1
]}

Ovuka, Aleksandar ^{[1
]}

Verbic, Arijan ^{[1
]}

机构：

[1] Clin Hosp Ctr Rijeka, Dept Pediat, Istarska 43, Rijeka, Croatia

来源：

JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM | 2016年 / 29卷 / 08期

关键词：

cerebral edema; diabetes mellitus; diabetic ketoacidosis; CEREBRAL EDEMA; RISK-FACTORS; CONSENSUS STATEMENT; CHILDREN; INFARCTION; ONSET; ADOLESCENTS; MELLITUS; SOCIETY;

D O I：

10.1515/jpem-2015-0481

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diabetic ketoacidosis (DKA) is a complex-metabolic state characterized by hyperglycemia, metabolic acidosis and ketonuria. Cerebral edema is the most common rare complication of DKA in children. The objective of the study was to emphasize the importance of careful evaluation and monitoring for signs and symptoms of cerebral edema in all children undergoing treatment for DKA. We present a case of 11-year-old girl with a history of diabetes mellitus type I (T1DM) who presented with severe DKA complicated by hypovolemic shock, cerebral edema and hematemesis. Considering the fact that complications of DKA are rare and require a high index of clinical suspicion, early recognition and treatment are crucial for avoiding permanent damage.

引用

页码：1001 / 1004

页数：4

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