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題 名 | Diagnostic Challenge in Asthma Attack Concurrent with the First Onset of Diabetic Ketoacidosis in a Pediatric Emergency Unit: A Case Report=氣喘發作合併同時發生的首次發作糖尿病酮酸血症對小兒急診醫師在診斷上的挑戰:一病例報告 |
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作 者 | 簡凱偉; 吳漢屏; 陳文良; 周志中; 張進富; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 19:2 2008.06[民97.06] |
頁 次 | 頁65-70 |
分類號 | 417.5343、417.5343 |
關鍵詞 | 氣喘; 兒童; 糖尿病酮酸中毒; Asthma; Children; Diabetic ketoacidosis; |
語 文 | 英文(English) |
中文摘要 | 一個8歲的小女孩因呼吸短促被送入小兒急診,經初步評估為氣喘發作。經治療後,呼吸窘迫的症狀並沒有得到很好的改善,再追溯其病史並安排快速血糖的檢測,發現是氣喘合併首次發作的糖尿病酮酸血症。若延誤治療或錯誤診斷將會造成嚴重的後果,甚至導致死亡的發生。因此,本文建議第一線的臨床醫師應該將 Dextrostix用來檢測血糖視為一個有用的鑑別診斷工具。 |
英文摘要 | We reported on an 8-year-old girl with a history of asthma who presented with shortness of breath and dyspnea. An asthma attack was initially considered after the primary survey. However, it was subsequently determined that the asthma was an exacerbation that was concurrent with the first-onset of diabetic ketoacidosis (DKA). Rapid diagnosis of DKA is important in minimizing subsequent serious consequences and death. The use of glucometry for spot glucose determination aided in the diagnosis, and is of use in rapidly distinguishing DKA from other concurrent respiratory emergencies. |
本系統中英文摘要資訊取自各篇刊載內容。