糖尿病酮症酸中毒的三联征,高甘油三酯血症,急性胰腺炎是成人2型糖尿病的罕见表现。我们报告了一例41岁的男性,他在急诊科就诊,突然出现严重的腹痛。糖尿病酮症酸中毒的诊断,高甘油三酯血症,和急性胰腺炎。甘油三酯水平为6056mg/dL,糖化血红蛋白为12.6%。开始大量液体治疗和持续输注胰岛素,但由于持续的症状,进行了一次血浆置换,临床明显改善。此病例强调了三联症的诊断挑战,并强调了血浆置换在快速降低甘油三酸酯水平中的潜在作用。
The triad of diabetic ketoacidosis, hypertriglyceridemia, and acute pancreatitis is a rare presentation of diabetes mellitus type 2 in adults. We report a
case of a 41-year-old male who presented at the emergency department with a sudden onset of severe abdominal pain. Diagnosis of diabetic ketoacidosis, hypertriglyceridemia, and acute pancreatitis was made. Triglyceride level was 6056 mg/dL and glycated hemoglobin was 12.6%. Vigorous fluid therapy and continuous infusion of insulin were started, but due to maintained symptoms, a single plasmapheresis session was performed, with significant clinical improvement. This
case emphasizes the diagnostic challenges of the triad and highlights the potential role of plasmapheresis in rapidly reducing triglyceride levels.