Title: Clinical analysis of diabetes mellitus ketoacidosis complicated by hydrocephalus in children
Abstract: Objective To explore the clinical features and risk factors of diabetes mellitus ketoacidosis complicated by hydrocephalus in children.Methods 10 children with diabetes mellitus ketoacidosis complicated by hydrocephalus were collected from October 2002 to May 2010.The clinical features and the cause were analyzed retrospectively,and compared to 23 children without complication.Results 33 children were diagnosed as diabetes mellitus ketoacidosis,among them 10 cases were complicated with hydrocephalus,and the incidence rate was 30.3%.Compared to children without hydrocephalus,children with complicates had more severe acidosis,during treatment,their sodium blood rose slowly,with continuous hyponatremia and high urea nitrogen levels.3 cases of the 10 children were treated by bicarbonate,the dosage was greater than those without complication.Conclusion Diabetes children with heavy ketoacidosis are easily happening cerebral edema.It may increase the risk of brain edema because of severe acidosis,blood sodium rising slow or continued low serum sodium concentration,blood urea nitrogen rising and bicarbonate using.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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