| 摘要: |
| ［摘要］ 目的 提高对急诊不典型糖尿病酮症酸中毒的认识，减少误漏诊的发生。方法 收集近4年来该院急诊科收治的22例糖尿病酮症酸中毒病例资料，对其中4例误诊漏诊病例临床资料进行回顾性分析。结果 22例病例中出现4例误诊漏诊，误诊漏诊率为18.2%。4例误诊漏诊患者入院时主诉均未提及糖尿病病史，此次发病时间短，来诊时无典型糖尿病酮症酸中毒症状、体征。结论 对急诊患者，要加强病史询问，全面体检，加强血糖、血生化、尿生化检查，可降低糖尿病酮症酸中毒误诊漏诊率。 |
| 关键词: 急诊 糖尿病酮症酸中毒 误诊漏诊 |
| DOI：10.3969/j.issn.1674-3806.2013.01.11 |
| 分类号:R 587.1 |
| 基金项目: |
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| Clinical analysis of misdiagnosis and missed diagnosis of emergency treatment of diabetic ketoacidosis |
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JIANG Chun-fa, HE Sheng, QIU Quan-huang,et al.
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Department of Emergency, the Affiliated Houjie Hospital of Guangdong Medical College, Dongguan 523945,China
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| Abstract: |
| ［Abstract］ Objective To improve the recognition of the emergency treatment of the non-typical diabetic ketoacidosis and reduce the occurrence of misdiagnosis and missed diagnosis.Methods The data of 22 emergency cases of diabetic ketoacidosis which were treated in our emergency room in the past four years was collected and the clinical data of misdiagnosis and missed diagnosis in 4 cases was retrospectively analyzed.Results Among 22 cases, 4 cases were misdiagnosis or missed diagnosis,the rate of misdiagnosis and missed diagnosis was 18.2%.In these 4 cases there did not have the history of diabetes, the onset time was very short and there was no any symptoms or signs of diabetic ketoacidosis when they came in for the emergency care.Conclusion To strengthen the case history talking and do a thorough examination on the emergency patients, strengthen the tesing of blood sugar,blood biochemical and urinalysis,which can reduce the occurrence of misdiagnosis or missed diagnosis. |
| Key words: Emergency treatment Diabetic ketoacidosis Misdiagnosis and missed diagnosis |
