·病例报告·

　　2型糖尿病酮症合并严重高甘油三酯血症1例

　　杨露 王奇金 张雅萍 黄勤

　　【提要】 患者男，43岁，主因“反复口干、头晕半月”入院，既往无明确糖尿病史。查体无特殊。入院前查血TG 52.22 mmol/L(4625.12 mg/dl)合并血糖明显升高伴尿酮体10 mmol/L。入院后予小剂量胰岛素、低分子肝素及非诺贝特降脂等治疗，患者血TG很快降至3.28 mmol/L(290.51 mg/dl)。严重高甘油三酯血症(HTG)有诱发急性胰腺炎和血栓形成的风险，故尽早发现和有效管理该病极为重要。

　　【关键词】 糖尿病，2型;高甘油三酯血症

Severe hypertriglyceridemia in a patient with type 2 diabetic ketosis — a case report YANG Lu, WANG Qi-jin, ZHANG Ya-ping. Department of Endocrinology, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China

Corresponding author: HUANG Qin, Email: qxinyi1220@163.com

　　【Summary】 A 43 year old male complained of dry mouth and dizziness for half a month before admission. He had no explicit history of diabetes mellitus and his physical examination showed no abnormalities. Blood test showed extremely high serum triglyceride (52.22mmol/L), hyperglycemia, and urine ketone of 10mmol/L. Low dose insulin infusion, low-molecular-weight heparin calcium and fenofibrate were used for lipid-lowering. His serum triglyceride rapidly reduced to 3.28 mmol/L after treatment. Severe hypertriglyceridemia (HTG) could induce acute pancreatitis and thrombosis. Therefore, early detection and effective management of this condition are of great importance.

　　【Key words】 Diabetes mellitus, type 2; Hypertriglyceridemia