天津医药

天津医药 ›› 2019, Vol. 47 ›› Issue (1): 85-87.doi: 10.11958/20181096

• 临床研究 • 上一篇    下一篇

爆发性1型糖尿病致心脏骤停一例及文献复习

褚庆玉 1，何佳桐 1，贾山移 1，赵斌 2△   

  1. 作者单位：1重庆市人民医院健康管理中心（邮编400013）；2重庆医科大学附属第三医院（捷尔医院）急救部 作者简介：褚庆玉（1980），女，本科，主治医师，主要从事健康管理相关研究 △通讯作者 E-mail：46290290@qq.com
  • 收稿日期:2018-07-18 修回日期:2018-11-19 出版日期:2019-01-15 发布日期:2019-01-15
  • 通讯作者: 赵斌 E-mail:46290290@qq.com

Cardiac arrest caused by foudroyant type I diabetes mellitus: a case report and literature review

CHU Qing-yu1, HE Jia-tong1, JIA Shan-yi1, ZHAO Bin2△   

  1. 1 Health Management Center, Chongqing General Hospital, Chongqing 400013, China; 2 Emergency Department, the Third Affiliated Hospital of Chongqing Medical University (Gener Hospital) △Corresponding Author E-mail：46290290@qq.com
  • Received:2018-07-18 Revised:2018-11-19 Published:2019-01-15 Online:2019-01-15

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摘要： 爆发性1型糖尿病（FT1DM）是1型糖尿病的亚型，临床少见。该病急性起病，病情凶险，发病机制是胰岛β 细胞功能短时间内被严重破坏，预后极差，病死率较高。其病因不详，疑与遗传、环境、自身免疫等多种因素有关。 现报告1例FT1DM致心脏骤停患者，以期引起临床工作者的重视，避免误诊。

关键词: 少见病, 糖尿病, 1型, 心脏骤停

Abstract: Foudroyant type 1 diabetes mellitus (FT1DM) is a subtype of type I diabetes, which is rare and dangerous in clinic. The pathogenesis of FT1DM is that the function of β cells in pancreas islet is severely damaged in a short period of time. The prognosis is extremely poor and the mortality rate is high. Its etiology and pathogenesis are unknown, which maybe related to many factors such as heredity, environment and autoimmunity. The author analyzed the clinical data of a cardiac arrest caused by FT1DM, in order to attract the attention of clinicians and avoid misdiagnosis.

Key words: rare disease, diabetes mellitus, type 1, sudden cardiac arrest