Analysis of 9 cases of pancreatic diabetes _4328 -

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9 cases of pancreatic diabetes

. 4 cases of moderate heat, heat 5, Ba, muscle tension 6 down, rebound 3 down. 1.3 laboratory 1) white blood cell count. Peripheral blood cell counts from Mrs 15IOX10 / L in 8 down, up to 28. OX10. / L, classification of neutrophils increased toxicity of neutropenia occurred in 3 cases up to 90.2) increased serum amylase determination, up to 1238u / iodine colorimetry (normal 370u), urine amylase determination up to 7820u / iodine than the color (normal 700u). 3) fasting blood glucose quantitative than 200mg ~ dl, the highest 367raged1, blood ketone weak positive. 4), ascites in 3 cases, routine examination were effusion, the less not send biochemistry. 5) B ultrasound images. Acute hemorrhagic necrotizing pancreatitis increased internal echo, so that the pancreas was swollen. Heterogeneous hypoechoic to substantive reflection. 6) The treatment of the critically ill, hospitalized after a joint broad-spectrum antibiotics, with symptomatic treatment, to correct acid-base balance and fluid therapy, are made of the treatment should be improved. Concurrent hyperglycemia are corrected in time, the use of rapid-acting insulin, the amount varies because of the pancreatitis patients improved, about 2 weeks, blood glucose and normal glucose tolerance test. 2 cases of diabetes symptoms than a year. May be due to pancreatitis caused by pancreatic damage caused by two serious discussion of the clinical features of 21 1) Acute pancreatitis manifested as edematous and more, 76% of this group, some patients develop severe bleeding ear closing date of pancreatic necrosis t】 991-06-1186 Hainan University Natural Science pancreatitis (representing 2,[link widoczny dla zalogowanych],1). Based on the clinical data analysis, under the main features of t (1) more women than men t of the disease reported in the literature as 2tl, the group 3 · l, slightly higher} (2), mostly in the 40-55 age {(3) the incidence history or a meal before drinking history {(4) acute upper abdominal pain, repeated vomiting, fever or moderate degree of heat. {Wink tenderness wide, with peritonitis signs f (5) in serum and urine amylase was significantly higher than the group of 700 serum amylase. / Well on the colorimetric iodine and urine amylase than 1600u / iodine colorimetry on. 2) associated with hyperglycemia <fasting plasma glucose greater than 250mg/d1), high blood sugar is acute hemorrhagic necrotizing pancreatitis as a sign of poor prognosis in this group were 9 down in the fasting blood glucose more than 250mg/dl, the most high-speed 380mg/dl combination of literature, the disease has a l0 2 mild hyperglycemia, but permanent diabetes can also occur acidosis or ketoacidosis or diabetic coma. 2.2 The treatment of acute hemorrhagic necrotizing pancreatitis caused by elevated blood sugar up to 45-5O%, usually mild elevated blood glucose, blood glucose 9 cases in this group is 250 - 350mg / ~, for high blood sugar must be promptly corrected , advocated the use of available insulin therapy, insulin requirements vary by patients. Most patients after several days or two weeks treatment, blood glucose returned to normal, the treatment of this group returned to normal blood glucose a minimum of 3 days and the longest day for the l3, in the use of insulin therapy without concurrent Liu hypoglycemia performance.

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