杭州10岁男孩4个月瘦了20斤,还总爱喝水,一查竟是这种病!医
<div class="wx_rich_media_content" id="jsWxContainer"><section style='display: none;' data-tools="新媒体管家" data-label="powered by xmt.cn"><br></section><p style='text-align: center;'><br></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><span style='max-width: 100%; box-sizing: border-box !important;'>最近这半年，很多孩子宅家吃得多动得少，都长胖了。但是10岁男孩小涵（化名）却在短短4个月里瘦了20斤！</span><span style='max-width: 100%; caret-color: red; font-family: 微软雅黑, "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;'>这让原本就不太结实的小涵看上去更显瘦弱了。</span><span style='max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; caret-color: red; box-sizing: border-box !important;'>而且，小涵父母发现小涵变得很喜欢喝水，每一次都能喝掉500ml矿泉水，这个发现让夫妻二人担心不已。</span></span></p><section data-tools="135编辑器" data-id="95518" data-color="#0db3bb" style='max-width: 100%; letter-spacing: 0.544px; font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;'><section data-role="outer" label="Powered by 135editor.com" style='max-width: 100%; box-sizing: border-box !important;'><section data-tools="135编辑器" data-id="95518" data-color="#0db3bb" style='max-width: 100%; box-sizing: border-box !important;'><section style='padding-bottom: 1em; max-width: 100%; box-sizing: border-box; text-align: center;'><section style='max-width: 100%; display: inline-block; text-align: right; box-sizing: border-box !important;'><section style='max-width: 100%; display: inline-block; box-sizing: border-box !important;'><section style='max-width: 100%; width: 15px; height: 1px; overflow: hidden; background: rgb(51, 51, 51); transform: rotate(-35deg); box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></section></section><section style='margin-top: -12px; max-width: 100%; box-sizing: border-box; clear: both; border-width: 1px; border-style: solid; border-color: rgb(51, 51, 51); box-shadow: rgb(13, 179, 187) 4px 4px 0px 0px;'><p style='padding: 4px 1.5em; max-width: 100%; box-sizing: border-box; min-height: 1em; text-align: center; letter-spacing: 2px; font-weight: bold; text-shadow: rgb(246, 208, 208) 0px 2px 2px;'><span style='max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important;'>希望能够”长胖“而就诊，</span></p><p style='padding: 4px 1.5em; max-width: 100%; box-sizing: border-box; min-height: 1em; text-align: center; letter-spacing: 2px; font-weight: bold; text-shadow: rgb(246, 208, 208) 0px 2px 2px;'><span style='max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important;'>却发现小涵血糖严重超标</span></p></section></section></section></section></section></section><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; caret-color: red; font-size: 15px; box-sizing: border-box !important;'>前不久，父母带着小涵到杭州市第一人民医院小儿内分泌科就诊，希望小涵能在医生的帮助下长得健壮一些。</span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'><span style='max-width: 100%;caret-color: red;'>可没想到，接诊的应爱娟主任医师在询问病情后，觉得小涵体重暴减的原因并没有父母想的那么简单。检查结果显示，</span><strong style='max-width: 100%; caret-color: red; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(13, 179, 187); box-sizing: border-box !important;'>小涵的血糖值为42.91mmol/L，严重超标。</span></strong></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; font-weight: bolder; font-family: sans-serif; caret-color: red; color: rgb(13, 179, 187); font-size: 15px; box-sizing: border-box !important;'>正常人的空腹全血血糖值在3.9~6.1毫摩尔/升之间，市售血糖仪的测量上限是33.3毫摩尔/升，因此血糖超过33.3常俗称爆表。</span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; caret-color: rgb(255, 0, 0); font-size: 15px; box-sizing: border-box !important;'>小涵随即被紧急收治入院。通过完善相关检查，结合“多饮、多尿、消瘦”的临床表现，医生诊断他患上的是1型糖尿病。</span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; text-align: center; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;width: 677px;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;'></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>小涵在诊断后选择了胰岛素泵治疗，减少了皮下多次注射，更符合生理胰岛素分泌模式。在胰岛素治疗的第三天，血糖就基本处于理想的平稳状态。</span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important;'><br></p><section data-tools="135编辑器" data-id="95518" data-color="#0db3bb" style='max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important;'><section style='padding-bottom: 1em; max-width: 100%; box-sizing: border-box; text-align: center;'><section style='max-width: 100%; display: inline-block; text-align: right; box-sizing: border-box !important;'><section style='max-width: 100%; display: inline-block; box-sizing: border-box !important;'><section style='max-width: 100%; width: 15px; height: 1px; overflow: hidden; background: rgb(51, 51, 51); transform: rotate(-35deg); box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></section></section><section style='margin-top: -12px; max-width: 100%; box-sizing: border-box; clear: both; border-width: 1px; border-style: solid; border-color: rgb(51, 51, 51); box-shadow: rgb(13, 179, 187) 4px 4px 0px 0px;'><p style='padding: 4px 1.5em; max-width: 100%; box-sizing: border-box; min-height: 1em; text-align: center; letter-spacing: 2px; font-weight: bold; text-shadow: rgb(246, 208, 208) 0px 2px 2px;'><span style='max-width: 100%; box-sizing: border-box !important;'>过去20年间，</span></p><p style='padding: 4px 1.5em; max-width: 100%; box-sizing: border-box; min-height: 1em; text-align: center; letter-spacing: 2px; font-weight: bold; text-shadow: rgb(246, 208, 208) 0px 2px 2px;'><span style='max-width: 100%; box-sizing: border-box !important;'>15岁以下儿童糖尿病发病率增加近4倍</span></p></section></section></section></section><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>毛淑炯副主任医师说，在许多人的印象中，糖尿病患者大多为成年人甚至老年人。</span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><strong style='max-width: 100%; font-size: 16px; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(13, 179, 187); box-sizing: border-box !important;'>在过去20年间，15岁以下儿童糖尿病发病率增加近4倍</span></strong><span style='max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;'>，且以1型糖尿病为主，中国全年龄段1型糖尿病发病率为1.01/10万人，14岁儿童发病率为1.93/10万。</span></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; text-align: center; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;width: 677px;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;'></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><span style='max-width: 100%; box-sizing: border-box !important;'>1型糖尿病常急性起病，以感染、饮食不当诱发，可有多饮、多尿、多食、消瘦的“三多一少”典型的症状，也可只表现为皮肤瘙痒、饥饿、视物模糊、疲倦、乏力等不典型临床表现。</span><span style='max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;'>还有接近一半的患儿会心动过速、气促、深大呼吸、烂苹果味、恶心呕吐、腹痛，甚至昏睡、嗜睡、认知水平减退、意识丧失等糖尿病酮症酸中毒表现起病。</span><span style='max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; color: rgb(13, 179, 187); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; box-sizing: border-box !important;'>糖尿病酮症酸中毒属于糖尿病的严重急性并发症，若未及时处理，可脱水加重甚至出现休克，更严重者会出现高渗性昏迷。</span></strong></span></span></p><section data-tools="135编辑器" data-id="95518" data-color="#0db3bb" style='max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important;'><section style='padding-bottom: 1em; max-width: 100%; box-sizing: border-box; text-align: center;'><section style='max-width: 100%; display: inline-block; text-align: right; box-sizing: border-box !important;'><section style='max-width: 100%; display: inline-block; box-sizing: border-box !important;'><section style='max-width: 100%; width: 15px; height: 1px; overflow: hidden; background: rgb(51, 51, 51); transform: rotate(-35deg); box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></section></section><section style='margin-top: -12px; max-width: 100%; box-sizing: border-box; clear: both; border-width: 1px; border-style: solid; border-color: rgb(51, 51, 51); box-shadow: rgb(13, 179, 187) 4px 4px 0px 0px;'><p style='padding: 4px 1.5em; max-width: 100%; box-sizing: border-box; min-height: 1em; text-align: center; letter-spacing: 2px; font-weight: bold; text-shadow: rgb(246, 208, 208) 0px 2px 2px;'><span style='max-width: 100%; box-sizing: border-box !important;'>确诊糖尿病后<span style='max-width: 100%;letter-spacing: 1.5px;caret-color: red;'>自我管理很关键</span></span></p><p style='padding: 4px 1.5em; max-width: 100%; box-sizing: border-box; min-height: 1em; text-align: center; letter-spacing: 2px; font-weight: bold; text-shadow: rgb(246, 208, 208) 0px 2px 2px;'><span style='max-width: 100%; box-sizing: border-box !important;'>出现“三多一少”症状应及时就医</span></p></section></section></section></section><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;'></span></p><h3 style='max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(13, 179, 187); font-size: 15px; box-sizing: border-box !important;'>1型糖尿病明确诊断后，需立即开始进行治疗，且综合管理，教育是先导、饮食是基础、运动是手段、药物是根本、检测是保证。</span><br></h3><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; box-sizing: border-box !important;'>首先，学习糖尿病知识，是战胜糖尿病的第一步。</span></strong><span style='max-width: 100%; box-sizing: border-box !important;'>只有掌握糖尿病的基本知识，才能有效地参与治疗，开展自我监测和自我管理。</span></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; box-sizing: border-box !important;'>其次，控制饮食尤为重要。</span></strong><span style='max-width: 100%; box-sizing: border-box !important;'>需要与胰岛素治疗方案相适应，且包含丰富多样的食物，符合个人口味和运动量，满足正常的生长发育所需的饮食管理。</span></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; box-sizing: border-box !important;'>第三，运动需因人而异、量力而行、循序渐进、持之以恒。</span></strong><span style='max-width: 100%; box-sizing: border-box !important;'>可以先选择平地骑自行车、步行、下楼梯等轻度活动，然后开始上楼梯、跑步、游泳、打球等中高强度活动。</span></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; text-align: center; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;box-sizing: border-box !important;overflow-wrap: break-word !important;width: 677px !important;visibility: visible !important;'></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; box-sizing: border-box !important;'>第四，一经确诊给予胰岛素治疗。</span></strong><span style='max-width: 100%; box-sizing: border-box !important;'>可纠正体内胰岛素的不足，提高胰岛素敏感性，使已受损的胰岛细胞得到休息，残存的胰岛功得到恢复，延缓疾病的进展。</span></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 15px;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; box-sizing: border-box !important;'>第五，在整个过程中需动态监测血糖波动情况。</span></strong><span style='max-width: 100%; box-sizing: border-box !important;'>多采用快速血糖仪进行血糖监测和患儿连续血糖监测，每2-3个月进行糖化血红蛋白监测判断血糖达标情况，以此了解饮食、胰岛素方案以及运动对血糖的影响，并指导其调整，可发现无症状的低血糖及未引起注意的餐后高血糖发作。</span></span></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1.5px; margin-top: 20px; margin-bottom: 20px; line-height: 2em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>最后，毛淑炯副主任医师提醒，<strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(13, 179, 187); box-sizing: border-box !important;'>不到两个月时间，市一医院儿科已经诊治了3名1型糖尿病患儿</span></strong>。儿童糖尿病不易被发现，家长需多细心观察，<strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(13, 179, 187); box-sizing: border-box !important;'>孩子如出现口渴、多饮、多尿、多食及消瘦的典型的“三多一少”的临床表现需及时就医</span></strong>，如果有家族史需更加提高警惕。</span></p></div><p></p>
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