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回顾分析了17名胰岛素依赖型糖尿病(IDDM)青少年儿童22次酮症酸中毒(KA)伴胃肠道症状时的情况,并讨论了胃肠道疾病与IDDM之间的关系。与8例次伴急性胃肠炎和8例次不伴其他疾病的KA相比,6例次伴漫性肾病病人的尿酮体含量、高血糖、血钠及CO2CP变化相对较轻(差别均有统计学意义)。血糖控制与酸中毒纠正所需时间相似,但胃肠道症状持续时间较长(P<0.01)。同时发现IDDM发生KA病人的慢性胃病发病率较高,并指出在KA控制后胃肠道症状仍不消失者应考虑到胃肠道疾病的存在。
A retrospective analysis of 22 insulin-dependent diabetes (IDDM) adolescents with ketoacidosis (KA) and gastrointestinal symptoms 22 cases, and discusses the relationship between gastrointestinal diseases and IDDM. Compared with 8 patients with acute gastroenteritis and 8 patients with no other disease, the urinary ketone content, hyperglycemia, serum sodium and CO2CP in 6 patients with diffuse renal disease were relatively lower (statistical difference Learn meaning). Blood glucose control and acidosis time required to correct, but gastrointestinal symptoms longer duration (P <0.01). At the same time found that patients with idiopathic KDM had a higher prevalence of chronic gastritis and pointed out that the symptoms of gastrointestinal tract after KA control should not be eliminated should consider the presence of gastrointestinal diseases.