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- W2348659814 abstract "Objective:To increase awareness among doctors of obese type Ⅱ diabetes and ketoacidosis combined with hyperlipidemic acute pancreatitis with abdominal pain as the first symptom.Methods:Retrospectively analyze the clinical data of 9 cases of obese type Ⅱ diabetes and ketoacidosis combined with hyperlipidemic acute pancreatitis in our hospital from January 2005 to March 2008.Results:(1) All nine patients were yong man whose average age were 30.78±5.56.(2) Without previous history of diabets and hyperlipidemia.(3) Without history of eating and drinking ravenously,also without history of cholelithiasis.(4) All nine patients had abdominal pain as the first symptom with abdominal tenderness.(5) All nine patients suffered obesity,their average body mass index(28.33±1.54 kg/m2).(6) They all accorded with the diagnostic criteria of diabetic ketoacidosis(DKA).(7) 7 of the 9 patients showed elevation of serum amylase at admission,including 6 patients had 3 times more serum amylase than the normal pepole.Two of the 9 patients had normal serum amylase at admission,including 1 patients had 3 times more serum amylase than the normal pepole at hospital.(8) All nine patients suffered hyperlipidemia at admission,including 6 patients had serum TG more than 11.3 mmol/L.When DKA was controled three days after admission,the patient's TG decreased to 1.1~1.8 mmol/L and TC decreased to 3.6~4.6 mmol/L.(9) Pancreatitis was found in all the patients by B ultrasound and CT.(10) After treatment,symptoms disappeared,serum amylase recovered to the normal level,serum TG and serum TC also recovered to the normal level or only slightly higher than the normal level.Conclusion:(1) DKA patients with abdominal pain as the first symptom should detect serum TG,serum TC,serum amylase,pancreatic B ultrasound and CT.(2) Patients suffered obese type Ⅱ diabetes probablely manifest ketoacidosis combined with hyperlipidemic acute pancreatitis at admission." @default.
- W2348659814 created "2016-06-24" @default.
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- W2348659814 date "2009-01-01" @default.
- W2348659814 modified "2023-09-23" @default.
- W2348659814 title "Clinical Analysis of 9 Cases of Obese Type II Diabetes and Ketoacidosis Combined with Acute Pancreatitis" @default.
- W2348659814 hasPublicationYear "2009" @default.
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