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79 例糖尿病酮症酸中毒合并纵隔气肿的临床特点分析
Authors Zhang W, Chen J, Wu X, Chen L, Wei J, Xue M, Liang Q
Received 12 September 2019
Accepted for publication 10 February 2020
Published 17 February 2020 Volume 2020:13 Pages 405—412
DOI https://doi.org/10.2147/DMSO.S230799
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Dr Antonio Brunetti
目的：分析糖尿病酮症酸中毒合并纵隔气肿的临床特点，提高临床医师对本病的认识。
方法：通过文献检索出国内外共 78 例糖尿病酮症酸中毒合并纵隔气肿患者，回顾性分析 79 例（我院 1 例）患者的临床特点，探讨其发病机制、临床症状、诊断方法、治疗策略及预后。
结果：79 例患者均通过胸部 CT 明确诊断，Kussmaul 呼吸、剧烈呕吐、胸痛是其常见症状，治疗以纠正酸中毒、治疗原发病为主，多数患者 1-2 周痊愈，有 2 例死亡。
结论：糖尿病酮症酸中毒合并纵隔气肿是一种罕见病，早期诊断明确后对因治疗，其预后良好。
Keywords: pneumomediastinum, diabetic ketoacidosis, treatment, diagnosis
