重度糖尿病酮症酸中毒伴白血病样反应并昏迷1例。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Medicine Insights. Case Reports Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI:10.1177/11795476251375551

Ievgeniia Burlaka, Serhii Babii, Ihor Kovalchuk

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引用次数: 0

摘要

我们报告了一个3岁的女孩，先前诊断为1型糖尿病（T1DM），在昏迷状态下入院，伴有严重的糖尿病酮症酸中毒（DKA），乳酸酸中毒和昏迷。患者伴有严重脱水、嗜中性粒细胞样白血病反应和反应性血小板增多。早期重症监护管理、机械通气和胰岛素治疗使病情稳定并逐渐恢复。这个病例强调了早期识别、积极治疗和多学科治疗对小儿复杂DKA患者的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Severe Diabetic Ketoacidosis With Leukemoid Reaction and Coma in a Toddler: A Case Report.

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Severe Diabetic Ketoacidosis With Leukemoid Reaction and Coma in a Toddler: A Case Report.

We present a case of a 3-year-old girl with previously diagnosed type 1 diabetes mellitus (T1DM) who was admitted in an unconscious state with severe diabetic ketoacidosis (DKA), lactic acidosis, and coma. The condition was complicated by profound dehydration, leukemoid reaction of neutrophilic type, and reactive thrombocytosis. Early intensive care management, mechanical ventilation, and insulin therapy led to stabilization and gradual recovery. This case highlights the critical importance of early recognition, aggressive management, and multidisciplinary care in pediatric patients with complicated DKA.

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来源期刊

Clinical Medicine Insights. Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

8 weeks