原创《一例暴发性I型糖尿病的患病状况与特征分析》：此文是一篇糖尿病论文范文,为你的毕业论文写作提供有价值的参考。
[摘 要] 目的 分析暴发性I型糖尿病的患病情况及疾病特征,为该疾病的临床诊治提供参考价值. 方法 对该院2017年10月收治的1例爆发性I型糖尿病患者的临床资料进行回顾性分析,总结该例患者的患病情况及疾病特征. 结果 该例患者起病较急,出现临床症状至就诊时间为1 d,入院检查发现存在酮症酸中毒.治疗第3天白细胞计数5.70×109/L,中性粒细胞比率62.50%,血红蛋白109.00 g/L,血小板229.00×109/L,C-反应蛋白5.84 mg/L,素氮0.58 mmol/L,肌酐47.12 μmol/L,酸碱度7.432,二氧化碳分压30.1 mmHg,氧分压91.0 mmHg,碳酸氢根20.0 mmol/L.血清胰酶明显升高,甲状腺功能无明显异常,具有一定的临床诊断难度.确诊后给予该例患者胰岛素、保肝等对症治疗,病情暂时得到控制.结论 暴发性I型糖尿病起病急、多伴有酮症酸中毒,病情发展迅速,治疗难度大,预后较差.
[关键词] 暴发性I型糖尿病；患病状况；疾病特征；预后
[中图分类号] R587 [文献标识码] A [文章编号] 1674-0742（2018）03（a）-0025-03
A Case of Fulminant Type I Diabetes Prevalence and Characteristics Analysis
XIA Yan-hua
Department of Endocrinology, Haicang Hospital, Xiamen, Fujian Province, 361026 China
[Abstract] Objective This paper tries to analyze the prevalence and disease characteristics of fulminant type I diabetes, and to provide reference value for the clinical diagnosis and treatment of this disease. Methods A retrospective analysis was performed on the clinical data of one patient with type I diabetes mellitus admitted in this hospital in October 2017. The prevalence and disease characteristics of this type of patients were summarized. Results The patient developed acute onset, clinical symptoms and treatment time was 1 d, admission examination found that there was ketoacidosis.3 days affer treatment white blood cell count 5.70 × 109/L, neutrophil ratio 62.50%, hemoglobin 109.00 g/L, 229.00×109/L platelet, 5.84 mg/L C-reactive protein, 0.58 mmol/L nitrogen, 47.12 μmol/L creatinine, pH 7.432, partial pressure of carbon dioxide 30.1 mmHg, oxygen partial pressure 91.0 mmHg, bicarbonate 20.0 mmol/L. Serum pancreatin was significantly elevated thyroid function was not abnormal, with a certain degree of clinical diagnosis of difficulty. After the diagnosis given to patients with insulin, liver and other symptomatic treatment, the disease was temporarily controlled. Conclusion Outbreak of type I diabetes onset acute, accompanied by ketoacidosis, the rapid development of the disease, the treatment is difficult, the prognosis is poor.
[Key words] Fulminant type I diabetes； Prevalence； Disease characteristics； Prognosis
暴發性I型糖尿病是由日本学者Imagawa最先提出的一种内分泌疾病,被认为是I型糖尿病的新亚型[1].1999年世界卫生组织（WHO）将该疾病暂时归入特发性I型糖尿病的范畴[2].由于该疾病较典型I型糖尿病和2型糖尿病少见,且现阶段各国医疗领域均尚未完全明确该疾病的具体发病机制,因此对该疾病进行多方面的分析仍十分必要[3].调查结果显示,我国爆发性I型糖尿病患者的临床诊治症面临着多方面的问题[4].基于上述现状,该文通过回顾分析2017年10月收治的1例爆发性I型糖尿病患者的临床资料,总结该疾病的患病情况及疾病特征,旨在为该疾病的临床诊治提供更多具有客观性的参考依据,现报道如下.
1 资料与方法
糖尿病论文参考资料：
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