A Case of Euglycemic Diabetic Ketoacidosis Complicating Gestational Diabetes Mellitus
陈春兰 1刘海蔚2
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作者信息
1. 570311 海口,海南医科大学附属海南医院
2. 海南省人民医院/海南医科大学附属海南医院内分泌科
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摘要
妊娠期血糖正常型酮症酸中毒(euglycemic diabetic ketoacidosis,eDKA)是妊娠期罕见的致命性急症,可危及胎儿的生命.本文报道1例妊娠期糖尿病孕妇在孕32+3周时发生eDKA,经过积极地静脉补液、胰岛素治疗后,酮症酸中毒得以纠正,最终采用赖脯胰岛素+地特胰岛素控制血糖,避免了紧急剖宫产,孕35+4周时因产科彩色超声提示巨大儿行剖宫产娩出1活女婴,出生体质量4 400 g.
Abstract
Euglycemic diabetic ketoacidosis(eDKA)during pregnancy is a rare and potentially fatal emergency that can endanger the life of the fetus.This paper reports a case of a pregnant woman with gestational diabetes mellitus who developed eDKA at 32+3 weeks of gestation.After active intravenous fluid replacement and insulin therapy,the ketoacidosis was corrected.Blood glucose was subsequently controlled using a combination of insulin lispro and insulin detemir,avoiding the need for an emergency cesarean section.At 35+4 weeks of gestation,due to obstetric ultrasound indicating macrosomia.a cesarean section was performed,and a live female infant was delivered,weighing 4 400 g.
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