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糖尿病酮症酸中毒(DKA)是内分泌科的常见急症,常伴有恶心、呕吐、上腹部疼痛等临床表现,若伴高脂血症(HL),尤其是高三酰甘油(TG),极易发生急性胰腺炎(AP),并且临床表现纷杂难辨,临床容易漏诊误诊,贻误最佳治疗时机,致使病死率高,危害性极大。我科2014年12月收治1例糖尿病酮症酸中毒合并高脂血症并发急性胰腺炎患者。现报道如下。1临床资料患者,女,36岁,主因左上腹痛伴恶心、呕吐3h由泌尿外
Diabetic ketoacidosis (DKA) is a common emergency in the Department of Endocrinology, often accompanied by nausea, vomiting, upper abdominal pain and other clinical manifestations, if accompanied by hyperlipidemia (HL), especially high triglyceride (TG), extremely easy The occurrence of acute pancreatitis (AP), and difficult to distinguish the complex clinical manifestations, clinical misdiagnosis of misdiagnosis, delaying the best timing of treatment, resulting in high mortality and great harm. Our department in December 2014 admitted to a case of diabetic ketoacidosis complicated with hyperlipidemia in patients with acute pancreatitis. Report as follows now. 1 clinical data, female, 36 years old, mainly due to left upper quadrant pain with nausea, vomiting 3h from the urinary