Diyabetik Ketoasidoza Bağlı Gelişen Akut Solunum Sıkıntısı Sendromu: Olgu Sunumu

Öz

Giriş: Diyabetik Ketoasidoza (DKA) bağlı Akut Solunum Sıkıntısı Sendromu (ARDS), nadir görülen fakat ölümcül olan bir komplikasyondur. Olgu Sunumu: 65 yaşında erkek hasta, DKA tanısıyla yoğun bakım ünitesine (YBÜ) yatırılmıştır. YBÜ’de takip edilirken dördüncü günde ani solunum sıkıntısı gelişen, arteriyal O2 basıncı/inspiratuar O2 fraksiyonu (PaO2/FiO2):200, akciğer grafisi ve toraks tomografisinde bilateral yaygın infiltrasyonu olan ve ekokardiyografisi normal tespit edilen hastaya ARDS tanısı konulmuştur. Öncesinde non-invazif sonrasında invazif mekanik ventilasyon uygulanmıştır. Destek tedaviye rağmen dokuzuncu günde ani kardiyak arrest gelişen hasta kaybedilmiştir. Sonuç: Bu vaka sunumda DKA'ya bağlı gelişebilecek olan ARDS’nin erken tanınması ve uygun tedavisinin önemi vurgulanmıştır.

Anahtar Kelimeler

• Diyabetik ketoasidoz
• akut solunum sıkıntısı sendromu
• acil servis

Acute Respiratory Distress Syndrome Due to Diabetic Ketoacidosis: A Case Report

Öz

Introduction: Acute Respiratory Distress Syndrome (ARDS) due to Diabetic Ketoacidosis (DKA) is a rare but fatal complication. Case Report: A 65-year-old male patient was admitted to the intensive care unit (ICU) with a diagnosis of DKA. The patient, who developed sudden respiratory distress on the fourth day while being followed up in the ICU, had arterial O2 pressure/inspiratory O2 fraction (PaO2/FiO2): 200, bilateral widespread infiltration on chest X-ray and thoracic tomography, and normal echocardiography, was diagnosed with ARDS. Non-invasive mechanical ventilation was applied before and invasive afterwards. Despite supportive treatment, the patient died on the ninth day due to sudden cardiac arrest. Conclusion: In this case report, the importance of early recognition and appropriate treatment of ARDS that may develop due to DKA is emphasized.

Anahtar Kelimeler

• Diabetic ketoacidosis
• acute respiratory distress syndrome
• emergency department

Kaynakça

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