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暴发性1型糖尿病5例临床资料分析与讨论 被引量:9

Cinical analysis of five cases of fulminant type 1 diabetes mellitus
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摘要 目的 提高临床医师对暴发性1型糖尿病(FT1DM)的认识. 方法 回顾性分析2003年10月至2012年10月我院收治的FT1DM患者的临床资料. 结果 患者年龄21~46岁,起病时随机血糖>24.0 mmol/L,HbA1c 5.1 %~7.6%.1~5 d迅速发展至DKA. 结论 FF1DM发病急骤,代谢异常严重,胰岛β细胞功能受损严重,易合并并肾、心脏、肌肉等多脏器的功能损害,须引起临床医师的高度重视. Objective To better understand fulminant type 1 diabetes mellitus(FT1DM).Methods Clinical and laboratory data of patients diagnosed as FDM in our hospital from October 2003 to October 2012 were retrospectively analyzed.Results (1) The patients aged 21-46 years old.(2)All patients developed diabetic ketoacidosis (DKA) rapidly within 1~5 days.(3)At the stage of onset,the plasma glucose level was above 24 mmol/L,glycosylated hemoglobin ranged from 5.1%to 7.6%.Conclusion FDM patients have clinical feathers of abrupt onset,severe metabolic disorder,impaired islet β-cell function,multiple organ impairment,which ask all medical practitioners to pay more attention.
出处 《中国糖尿病杂志》 CAS CSCD 北大核心 2014年第6期545-547,共3页 Chinese Journal of Diabetes
基金 北海市科学技术局基金资助项目(北科合201303008)
关键词 糖化血红蛋白 糖尿病 1型 暴发性 Hemoglobin A1c Diabetes mellitus, type 1, fulminant
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同被引文献70

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  • 2沈波,张薇.持续性肾脏替代治疗抢救横纹肌溶解急性肾功能衰竭[J].中国危重病急救医学,2005,17(10):637-638. 被引量:26
  • 3邢迎红,王勇强.血液净化治疗横纹肌溶解综合征[J].中国危重病急救医学,2007,19(3):159-159. 被引量:12
  • 4段军,仝小林.消渴病的初始病机及其演变浅谈[J].北京中医,2007,26(3):157-159. 被引量:27
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  • 8Liu L, Mao J, Lu Z,et al. Clinical analysis of fulminant type 1 diabetes in China and comparison with a nation- wide survey in Japan[J]. Diabetes Metab Syndr, 2012, 6,203-206. 被引量:1
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