Misdiagnosis of 4 cases of children with diabetes.doc

 PAGE \* MERGEFORMAT 8 Misdiagnosis of 4 cases of children with diabetes [Keywords:] diabetes, children, the misdiagnosis Incidence of diabetes in children is relatively low in the pediatric and clinical symptoms not typical, easily misdiagnosed, our hospital from 2001 to December 2008 were treated in children with diabetes in 11 cases, including 4 cases of misdiagnosis, misdiagnosis is analyzed as follows. 1 Clinical data 1.1 Case Introduction Case 1, children, female, 9 years old, because of “loss of appetite, fatigue and one week with dizziness, vomiting one day,” admitted to hospital, past the body and health, admission examination: T 36.5 ℃, BP 90/60 mm Hg, conscious, spiritual poor, indifferent face, pale complexion, sunken eyes, mild nest, vermilion, neck soft, no abnormal heart and lung auscultation, abdomen soft, no abnormal liver and spleen. outpatient counseling examination: WBC 13.2 × 109 / L, N 0.483, Hb 105 g / L, PLT 178 × 109 / L. Electrocardiogram Tip: sinus rhythm, no axis deviation, myocardial damage, abnormal electrocardiogram. admission diagnosis: viral myocarditis, given anti-infection, nutrition myocardium, symptomatic and other treatment, 8 h after admission in children with deep breathing, coma, Jicha renal function: blood glucose 28.9 mmol / L, urea nitrogen 5.4 mmol / L, carbon dioxide combining power 16 mmol / L, serum electrolytes normal range, and ask medical history, patients sick children how to drink the first 2 months, polyuria history, was rescued out of danger, turned clear mind, improved and discharged after 1 week. Example 2, children, male, 9 months, due to “fever, vomiting, diarrhea two days,” admitted to the conditions: T 38 ℃, mind clear, before the skull, eyes nest depression, degree of dehydration was Ⅱ appearance, nutritional secondary , no abnormal heart and lung auscultation, abdomen soft, bowel sounds active. patient data: WBC 10.9 × 109 / L, N 0.412, Hb 126 g / L, PLT 230 × 109 / L. stool: yellow,