中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2021, Vol. 37 ›› Issue (11): 1115-1118.DOI: 10.19538/j.fk2021110110

• 专题笔谈 • 上一篇    下一篇

妊娠期糖尿病酮症酸中毒的预测及预警

  

  1. 1.上海市长宁区妇幼保健院妇产科，上海 200050；2.上海交通大学附属第一人民医院，上海 200080
  • 出版日期:2021-11-02 发布日期:2021-11-02
  • 通讯作者: 徐先明
  • 基金资助:
    上海申康医院发展中心临床三年行动计划资助（SHDC2020CR2060B）

Prediction and early warning of ketoacidosis during pregnancy.

  1. Shanghai Changning District Maternity and Infant Health Hospital，Shanghai 200050，China
  • Online:2021-11-02 Published:2021-11-02

摘要： 妊娠期糖尿病酮症酸中毒是一种少见但却潜在威胁母儿生命安全的疾病。多见于1型糖尿病合并妊娠的患者，也可见于2型糖尿病合并妊娠患者和妊娠期糖尿病患者。对妊娠期糖尿病酮症酸中毒进行早期的识别和诊断，对改善母儿结局意义重大。文章就妊娠期糖尿病酮症酸中毒的病理生理、对母儿的影响、诱发因素、预测因子、早期预警信号及预测模型等进行论述。

关键词: 糖尿病酮症酸中毒, 妊娠, 预测, 预警, 诱发因素

Abstract: Diabetic ketoacidosis（DKA） in pregnancy is a rare but potential life-threatening condition for the mother and the fetus. Although DKA is more common in patients with type 1 diabetes，it has been reported too in those with type 2 diabetes as well as gestational diabetes. Early recognition and diagnosis is of great significance in improving maternal and fetal outcomes. This article will provide the reader with information regarding the pathophysiology underlying DKA，the influence on the mother and the fetus，the precipitating factors，the predictors and the early warning signs and prediction models of DKA.

Key words: diabetic ketoacidosis, pregnancy, predict, early warning, precipitating factors

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