Children with type 1 diabetes ketoacidosis Clinical analysis of 10 cases.docVIP

 PAGE \* MERGEFORMAT 6 Children with type 1 diabetes ketoacidosis Clinical analysis of 10 cases [Abstract] Objective type 1 diabetes ketoacidosis (DKA) the clinical features, in order to improve awareness of diabetes in children. Methods We reviewed the clinical data of children in DKA and treatment measures. DKA results of 10 cases of respiratory tract infection in 4 cases, 3 cases with abdominal pain and diarrhea, and vomiting as the initial presentation in 1 case; short-acting regular insulin intravenous infusion dimensional effective treatment of DKA. Conclusion onset of clinical manifestations of DKA is not typical, often to the digestive tract, respiratory tract infection treatment, enhance the understanding of the disease, improve the routine examination to prevent misdiagnosis. [Keywords:] diabetes mellitus, insulin-dependent; ketoacidosis; insulin; children Diabetes is a high blood sugar as the main biochemical characteristics of systemic chronic metabolic disease, diabetes, the vast majority of children with type 1 diabetes [1], the ketoacidosis (diabetic ketoacidosis, DKA) is the most common acute complications of diabetes and death reasons. now 10 patients were treated in hospital 1998/2007 diabetic ketoacidosis in children with type 1 clinical features and treatment measures to summarize, to raise awareness of children with type 1 diabetes and ketoacidosis understanding. 1 Materials and Methods 1.1 Clinical data 199801/200712 MCH Shahekou area children with DKA treated 10 patients, including 6 males and 4 females; onset least 15 months, maximum 13 years old. 1.2 Diagnostic Criteria (1) high blood sugar, blood glucosegt; 11.1 mmol / L can be diagnosed, but usually DKA glucosegt; 16.8 mmol / L; (2) blood pH lt;7.3 or HCO3-lt;15 mmol / L; (3) ketone ketone acidosis and polyuria [1]. 1.3 The treatment of the immediate establishment of two intravenous access, one for fluid infusion, correct acid, infection control, first of all sodi