中国实用儿科杂志

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糖代谢异常与猝死及危重症

  

  1. 1.河南省儿童医院内分泌遗传代谢科, 河南  郑州 450000; 2北京大学第一医院儿科, 北京  100034
  • 出版日期:2019-07-06 发布日期:2019-07-12

Sudden death and critical illness due to carbohydrate metabolic disorders

  1. *Department of Endocrinology and Inherited Metabolic, Henan Children’s Hospital, Zhengzhou  450000, China
  • Online:2019-07-06 Published:2019-07-12

摘要:

碳水化合物是机体内重要的能量来源,包括葡萄糖、半乳糖、果糖和糖原。先天性酶的缺陷会引起多种糖代谢异常, 其中多数疾患可导致低血糖, 大部分呈慢性经过, 但部分严重的糖代谢异常如糖原累积病Ⅰ型、 果糖-1, 6-二磷酸酶缺乏症等, 患者可急性起病, 病情危重导致低血糖性脑病、 心肌病、 肝病、 骨骼肌损害等多器官疾病。若能及时诊断和干预, 大多糖代谢异常预后良好。一些严重患者猝死, 需要依靠代谢尸检明确病因诊断, 以指导家族遗传咨询。

关键词: 糖代谢, 猝死, 危重症, 低血糖

Abstract:

Carbohydrates are the important energy source of body,including glucose,galactose,fructose and glycogen. Congenital enzymes defects will cause carbohydrates metabolic disorders. Most of the carbohydrate metabolic disorders could lead to hypoglycemia. Most patients presented with chronic disease course. But some patients with serious diseases,such as glycogen storage disease type I,fructose-1,6-bisphosphate deficiency,presented as acute onset with critical illness,resulting in hypoglycemia and multiple organ damage(encephalopathy,cardiomyopathy,hepatopathy and myopathy). Most of the carbohydrate metabolic disorders have good prognosis if the prompt diagnosis and proper intervention are available. Sudden death occurred in some severe cases. Post-morterm study by metabolic autopsy is important to conform the diagnosis and directive genetic counseling.

Key words: carbohydrate metabolic disorders, sudden death, critical illness, hypoglycemia