Misdiagnosis of Lactic Acidosis in Diabetes:A Case Report
BAI Yang
Abstract：Objective To investigate the clinical features, pathogenesis and prevention of lactic acidosis in diabetes. Methods Clinical data of a diabetic patient with lactic acidosis was retrospectively analyzed. Results The patient was e-mergently admitted for vomiting and nausea for 20 h with feeling waist and back pain for 10 h. She had a history of diabetes for 10 years and was irregularly treated with metformin for a long time, and blood sugar was unsatisfactorily controlled. The blood pressure was 200/90 mmHg. On the basis of blood pressure and clinical symptoms, the patient was diagnosed and treated as aortic dissection in Emergency Department of our hospital and outside the hospital, but no significant efficacy. After our de-partment received the patient, the blood lactate and arterial blood gas results made the diagnosis of diabetic lactic acidosis de-fined. After given abundant amount of liquids, sodium bicarbonate and the treatment of continuous venovenous hemodiafiltra-tion ( CVVHDF) , the patient finally recovered. Conclusion It is necessary to raise our awareness of prevention of lactic aci-dosis in diabetes and universal access to the disease's knowledge. And we should improve the relevant checks in time to reduce misdiagnosis and mistreatment.
Keywords：Diabetes mellitusAcidosislacticDiagnostic errorsAortaAneurysmdissecting
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 57-59 )