| 刘江民,徐聚龙,贾映东.糖尿病酮症酸中毒合并肝门静脉积气 1例及文献分析[J].安徽医药,2025,29(12):2443-2446. |
| 糖尿病酮症酸中毒合并肝门静脉积气 1例及文献分析 |
| One case of diabetes ketoacidosis complicated with hepatic portal vein pneumatosis and literature analysis |
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| DOI：10.3969/j.issn.1009-6469.2025.12.023 |
| 中文关键词: 糖尿病酮症酸中毒 肠坏死 肝门静脉积气 治疗 预后 |
| 英文关键词: Diabetic ketoacidosis Intestinal necrosis Hepatic portal vein gas Treat Prognosis |
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| 中文摘要: |
| 目的分析 1例糖尿病酮症酸中毒(DKA)合并肝门静脉积气(HPVG)病人的临床诊治经过并进行文献回顾，以提高对该病的认识。方法回顾遂宁市中心医院急诊科于 2023年 4月接诊的 1例 DKA合并 HPVG病人的临床与实验室检查资料，查阅相关文献，分析该类病例的特点，并进行相关文献的总结。结果该例病人入院后第 4天死亡，既往文献报道的 7例 DKA合并 HPVG病人，其中 4例病人死亡， 3例治疗后好转。结论 DKA合并 HPVG病人具有起病急，病情危重，进展迅速，病死率高的特点。对于原发病的准确识别，全程动态监测病情演变，以及及时的治疗策略对挽救 DKA合并 HPVG病人的生命至关重要。 |
| 英文摘要: |
| Objective To analyze the clinical course especially the diagnosis and treatment of a patient with diabetic ketoacidosis(DKA) complicated with hepatic portal vein gas (HPVG) and to review the literature in order to improve the understanding of this dis.ease.Methods The clinical and laboratory examination data of a patient with DKA complicated with HPVG who was admitted to theEmergency Department of Suining Central Hospital in April 2023 were analyzed. The relevant literature was reviewed and summarizedto enhance the knowledge on the characteristics of these specific cases. Results This patient died on the 4th day after admission.Among the 7 patients with DKA complicated with HPVG reported in the previous literature, 4 patients died and 3 patients were im-proved after treatment.Conclusions Patients with DKA and HPVG have the characteristics of acute onset, critical condition, rapidprogression, and a high mortality rate. Accurate identification of the primary disease, dynamic monitoring of the evolution of the dis-ease, and timely treatment strategies are essential to saving the lives of patients with DKA and HPVG. |
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