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目的讨论以腹痛为主要表现的糖尿病酮症酸中毒误诊原因,提高酮症酸中毒的正确判断及有效治疗。方法收集河南省荥阳市人民医院近2 a收治的8例酮症酸中毒误诊病例进行回顾性分析,探讨误诊的主要原因。结果误诊为急性肠炎3例,急性胰腺炎2例,急性阑尾炎、急性胆囊炎、胃肠型感冒各1例。结论以腹痛为主要表现的酮症酸中毒误诊原因是多方面的,随机血糖及尿常规检查能及时有效地帮助临床医生判断是否可能存在酮症酸中毒。
Objective To discuss the causes of misdiagnosis of diabetic ketoacidosis with abdominal pain as the main manifestation and to improve the correct judgment and effective treatment of ketoacidosis. Methods Eight cases of misdiagnosis of ketoacidosis admitted in Leiyang Municipal People’s Hospital of Henan Province during the past two years were retrospectively analyzed and the main causes of misdiagnosis were discussed. Results Misdiagnosed as acute enteritis in 3 cases, 2 cases of acute pancreatitis, acute appendicitis, acute cholecystitis, gastrointestinal influenza in 1 case. Conclusions Misdiagnosis of ketoacidosis with abdominal pain as the main manifestation is caused by many factors. Randomized blood glucose and urine tests can help clinicians determine whether ketoacidosis is possible in a timely and effective manner.