暴发性1型糖尿病临床病例总结.pdfVIP

主旦擅垦瘟苤查；!!!至；旦箜；!鲞箜；塑堡垒也』墅!!!!嬖!E!垒!坚!型垫!!!塑!：；!!塑!：； ·163· ·病例报告· 暴发性1型糖尿病临床病例总结 赵向府庄晓明 吴小娟 【摘要】暴发性1型糖尿病(FTlDM)是一种TIDM的新亚型，不同于经典的自身免疫性T1DM，该 病起病急骤，代谢异常严重，早期可合并多器官受损，从出现症状到死亡可在24h内发生，且妊娠是 FTlDM的重要危险因素，一旦发生即可能出现死胎、孕妇死亡。本文综合我院收治的3例FTlDM患者 临床资料，并复习相关文献，总结FTIDM的临床特征及治疗策略，旨在提高临床医师对FTIDM的认识， 改善该类患者的预后。 【关键词】1型糖尿病，暴发性；糖尿病酮症酸中毒；自身抗体；妊娠 doi：10．3969／j．issn．1006—6187．2016．02．018 FlI_hminant1 andliteraturereviewZHAO typediabetes：Clinicalcases’sumnlary Xiang一^，ZHUANG Medical Xiao-juan．DepartmentofEndocrinology，FuxingHospital，Capital Xiao-ming，’yU 100038，China University，Beijing author：ZHUANG 63．corn Corresponding Xiao-ming，E-mail：zhuangxiaomin宙01@1 1 diabetes(FTlDM)isanew ofT1DM，whichisdifferentfrom [Abstract]Fulminant type subtype metabolic classicautoimmuneT1DM．FTlDMiSfeatured onset，seriousdisorder，and byabrupt complicated with couldoccurwithin24hourssincethe in multipleorgandamage．Death symptomappearance would1eadtostillbirth iSan riskfactorforFTlDM．Onceoccurrence，it FTlDM．Pregnancyimportant death．Here，wedescribedtheclinicaldataofthree withFTlDMinour andmaternal patients hospital， of reviewed andsummarizedtheclinicalcharacteristicsandtreatment FTlDM，in previousreports strategy ofthisdiseaseand the ofsuch ordertOenhanceourawareness improveprognosispatients． 1 diabetes，fulminant；Diabetic [Keywo