摘要
总结2型糖尿病(糖尿病肾病)尿路感染尿毒症患者合并皮下血肿与获得性凝血因子缺乏症的诊断与治疗经验。一名56岁女性患者,主诉烦渴多尿血糖升高22年,水肿4年,伴恶心、呕吐1周就诊入院。住院治疗中出现皮下血肿。实验室检查结果:凝血因子(II,VII,IX,X)缺乏。对于2型糖尿病(糖尿病肾病)尿路感染尿毒症患者出现皮下血肿,鉴别诊断有重要的临床意义。获得性凝血因子缺乏(II,VII,IX,X)在2型糖尿病(糖尿病肾病)尿路感染、尿毒症、血液透析后,是皮下血肿的罕见原因。2型糖尿病(糖尿病肾病)尿路感染尿毒症患者合并皮下血肿和获得性凝血因子缺乏症需综合治疗(手术、血液透析、药物),能取得满意的疗效。
The diagnosis and therapy experiences of type Ⅱ diabetes （diabetic nephropathy） urinary tract infection uremic patient with subcutaneous hemorrhage and acquired deficiency of coagulation factors are summarized in the article, A 56 - year - old female began to complain of polydipsia hyperuresis hyperglucosemia for 22 years with edema 4 years, with nausea and vomiting 1 week who was brought in renal department. Laboratory evidence indicated that coagulation factors （Ⅱ,Ⅶ,Ⅸ,Ⅹ） were deficiency, There was clinically important significant difference diagnosis for subcutaneous hemorrhage in type Ⅱ diabetes （ diabetic nephropathy） patients with urinary tract infection and uremia, Acquired deficiency of coagulation factors （Ⅱ,Ⅶ,Ⅸ,Ⅹ） was a rare cause of subcutaneous hemorrhage in typeⅡdiabetes （diabetic nephropathy） patient with urinary tract infection and uremia after hemodialysis, These results clearly indicated that type Ⅱdiabetes （diabetic nephropathy） urinary tract infection uremic patient with subcutaneous hemorrhage and acquired deficiency of coagulation factors should be treated with comprehensive management （operation, hemodialysis and drugs） at this moment, which have good therapeutic effects.
出处
《时珍国医国药》
CAS
CSCD
北大核心
2007年第8期1866-1867,共2页
Lishizhen Medicine and Materia Medica Research
基金
吉林省高校科技与社科"十五"科研规划课题(No.(吉教科字)[2006]号18号)
关键词
2型糖尿病糖尿病肾病
尿路感染
尿毒症
皮下血肿
获得性凝血因子缺乏症
诊断与治疗
Type Ⅱ diabetes （diabetic nephropathy）
Urinary tract infection uremia
Subcutaneous hemorrhage
Acquired deficiency of coagulation factors
Diagnosis and therapy
