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糖尿病孕妇中毒

2018-07-17 06:00 武汉晨报
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  本患有糖尿病,怀孕期间胡吃海喝,一糖尿病孕妇因为血糖飙升导致“糖尿病酮症酸中毒”,腹中的胎儿也被迫提前分娩,幸好经过抢救母婴平安。

  29岁的张女士怀孕33周,3天前突然出现呕吐、胸闷、心慌等症状,呕吐物由黄色逐渐转变为咖啡色,家人忙把她送到武汉大学中南医院,经检查,尿酮、尿蛋白等指标很高,血气分析也异常,医生怀疑为“糖尿病酮症酸中毒”。

  张女士的家属说,张女士怀孕前就患有糖尿病,没怎么治疗。怀孕后张女士不但很少活动,为加强营养吃了过多高热量食物,哪怕自己有糖尿病,也很少监测血糖。

  对于孕妇来说,酮症酸中毒是非常凶险的,在治疗过程中可能随时昏迷、多器官系统功能受损、衰竭,导致胎儿宫内窘迫、胎死宫内,加上孕妇同时伴有肾病综合征、心功能不全、妊娠期高血压等高危病症,胎儿也出现了早产迹象。经一系列治疗后,张女士剖宫产分娩生下一个男婴。

  专家指出,孕妇在怀孕期间要科学饮食,特别是糖尿病孕妇要有效控制血糖。

  (记者黎清通讯员高翔)

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