Yangzi Evening News (correspondent Du Yun reporter Zhang Bin) 19-year-old girl at home during winter vacation, thirsty to drink drinks, hungry to eat snacks, to the meal appetite is still very good, but just a few days before the New Year, this girl because of ketoacidosis and coma, was sent to Changzhou City Tumor (Fourth People) Hospital rescue, in the hospital intensive care unit for a full 10 days of rescue, is still in Changzhou Cancer Hospital Endocrinology Department for treatment.
On the morning of January 28, Xiaoling was sent to Changzhou Cancer Hospital by her family, when Xiaoling was unspeakable, her face was flushed, and her breathing was shallow. The reception was Chao Yiqun, deputy director of the hospital's emergency department, who smelled a faint smell of rotten apples from Xiaoling's breathing, and asked the nurse to immediately measure blood glucose and urine ketones on the basis of routine vital sign monitoring. Sure enough, It was found that Xiaoling not only had a blood pressure as low as 55/32mmHg, but also a high blood glucose value that could not be detected, and the urine ketone body was positive, and the preliminary diagnosis was diabetic ketoacidosis.
"At that time, the little girl's bilateral pupils were not equally enlarged, and the head CT also showed that she had developed cerebral edema, which was very dangerous, and if the acidosis was not corrected in time, it might endanger her life." Chao Yiqun said, "Diabetic ketoacidosis is a kind of internal emergency disease of glucose- fat protein metabolism disorder caused by severe insulin deficiency, and is the most common severe acute complication in diabetic patients, and in severe cases, coma can occur, and even life-threatening." ”
"We learned after Xiaoling woke up that she had symptoms of drinking, eating more, urinating more, and losing weight half a year ago, which is a typical diabetic 'three more and one less'." She usually has a good appetite, loves snacks, and drinks when she is thirsty. Zhang Ling, attending physician of the Department of Endocrinology of Changzhou Cancer Hospital, said, "At present, we comprehensively consider that she is not found and treated in time because she has type 1 diabetes, and the insulin in the body is absolutely insufficient to inhibit the decomposition of lipids and causes the body to be at a high level of ketosis, resulting in metabolic acidosis." ”
Finally, Zhang Ling also reminded everyone: "Three more and one less is a typical symptom of diabetes, do not think that only middle-aged and elderly people will get diabetes, for children and adolescents appear three more and one less should also pay attention to, timely to the hospital for treatment, early detection, early standardized treatment." ”
Source: Yangtze Evening News
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