Children with insulin-dependent diabetes ketoacidosis Analysis of 15 cases of clinical characteristics and misdiagnosis（儿童胰岛素依赖型糖尿病酮酸症15例的临床特点及误诊分析）.doc

Children with insulin-dependent diabetes ketoacidosis Analysis of 15 cases of clinical characteristics and misdiagnosis [Abstract] Objective To summarize the analysis of children with type 1 diabetes ketoacidosis (diabetes ketone acidosis, DKA common predisposing factor, misdiagnosis and its countermeasures. Methods of our hospital between March 1998 - February 2007, 23 cases of children type DKA 15 cases of misdiagnosed cases of clinical manifestations, laboratory tests and misdiagnosed disease were analyzed 23 cases of children with type 1 DKA first misdiagnosis rate of 65.2%, which misdiagnosed as upper respiratory tract infection in 5 cases (33.3% misdiagnosis gastrointestinal disease in five cases (33.3% misdiagnosed as infection of the central nervous system in 3 cases (20.0% misdiagnosed as heat disease and myocarditis in 1 case (6.7% conclusion of type I DKA in children easily lead to misdiagnosis, misdiagnosis of disease complex clinical manifestations and clinical experience of doctors. enhance awareness and vigilance children DKA can improve diagnostic accuracy, reduce misdiagnosis. [Keywords] insulin-dependent diabetic children ketoacidosis misdiagnosed Children with type 1 diabetes is common in children with endocrine and metabolic diseases, and in recent years, with the improvement of living standards, there is a growing trend in our hospital since 1998, opened a children’s endocrine specialist, treated children with type 1 diabetes in children is increasing year by year, the annual average number of diagnosis and treatment of patients 5.6 cases / year from 1998-2002, 0.8 cases / year to 2003-2006, but the incidence of childhood diabetes is still relatively low in the common pediatric diseases and clinical symptoms are not typical, especially with diabetic ketoacidosis acidosis (DKA as the first symptom, the higher rate of clinical misdiagnosis and mistreatment endocrine specialist in our hospital between March .1998 - February 2007 a total o