PDF(Pubmed)
Abstract：
UNASSIGNED: In pediatrics, a leukemoid reaction in severe DKA cases with cerebral edema has never been reported. The fluid management was challenging as it required balancing rates to ensure improvement of the condition while preventing neurological sequelae.
UNASSIGNED: The combination of diabetic ketoacidosis (DKA), cerebral edema, and leukemoid reaction in pediatrics has never been reported before in the literature. It may lead to significant morbidity and high mortality. Here, we report a case of DKA-induced cerebral edema associated with severe leukocytosis (WBC 98 × 109/L), which had many challenges in fluid therapy.
UNASSIGNED: The combination of diabetic ketoacidosis (DKA), cerebral edema, and leukemoid reaction in pediatrics has never been reported before in the literature. It may lead to significant morbidity and high mortality. Here, we report a case of DKA-induced cerebral edema associated with severe leukocytosis (WBC 98 × 109/L), which had many challenges in fluid therapy.
摘要：
■在儿科，严重DKA伴脑水肿病例中的类白血病反应从未报道过.液体管理具有挑战性，因为它需要平衡比率以确保改善病情，同时防止神经系统后遗症。
■糖尿病酮症酸中毒（DKA）的组合，脑水肿,儿科中的类白血病反应以前从未在文献中报道过。它可能导致显著的发病率和高死亡率。这里,我们报道一例DKA诱导的脑水肿伴严重白细胞增多（WBC98×109/L），这在液体治疗方面有许多挑战。
■糖尿病酮症酸中毒（DKA）的组合，脑水肿,儿科中的类白血病反应以前从未在文献中报道过。它可能导致显著的发病率和高死亡率。这里,我们报道一例DKA诱导的脑水肿伴严重白细胞增多（WBC98×109/L），这在液体治疗方面有许多挑战。
