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糖尿病酮症酸中毒为最常见的糖尿病急症。临床表现多样变化,少数患者表现为腹痛,酷似急腹症易与消化系统疾病相混淆。病历摘要:患者女,36岁,主因“腹痛伴恶心、呕吐半天”入院,患者半天前无明显诱因出现上腹部疼痛,为持续性钝痛,休息后疼痛不缓解,伴恶心、非喷射性呕吐3次,呕吐物为胃内容物,约20ml/次,无发热,无心慌,无腹胀,无黄疸,无尿急、尿频、尿痛,无黑便。既往体健。入院查体:体温37.0℃,脉搏80次/
Diabetic ketoacidosis is the most common diabetic emergency. A variety of clinical manifestations of change, a small number of patients showed abdominal pain, resembles acute abdomen easily confused with digestive diseases. Patient female, 36 years old, mainly due to “abdominal pain with nausea, vomiting half a day ” admission, the patient had no obvious incentive for upper abdominal pain half a day ago, persistent dull pain, rest after the pain does not ease, with nausea, non-jet Vomiting 3 times, vomit for the stomach contents, about 20ml / times, no fever, no palpitation, no bloating, no jaundice, no urgency, frequent urination, dysuria, no meconium. Past physical health. Admission examination: body temperature 37.0 ℃, pulse 80 times /