糖尿病酮症酸中毒80例救治分析  

Clinical Analysis of 80 Cases of Diabetic Ketoacidosis

作　　者：马瑞[1] 杨增烨[1] 

机构地区：[1]延安大学附属医院急诊科,陕西省延安市716000

出　　处：《中国全科医学》2009年第18期1704-1705,共2页Chinese General Practice

摘　　要：目的分析我科已治愈的80例糖尿病酮症酸中毒患者的临床资料,探讨糖尿病酮症酸中毒的救治方案。方法80例酮症酸中毒患者在补液、祛除诱因及纠正电解质紊乱、酸碱平衡等治疗的基础上均给予小剂量胰岛素静脉滴注。结果经综合治疗后取得良好效果,56例患者各项化验指标在24h内恢复至正常范围,腹痛等症状减轻或消失,能正常进餐。余24例各项化验指标在3d内恢复正常。结论糖尿病酮症酸中毒患者在补液及祛除诱因的基础上,合理应用外源性胰岛素治疗可提高救治效果。Objective Chnical data of 80 patients with diabetic ketoacidosis （DK） were analyzed to explore its treatment. Methods All DK patients were given low - dose insulin infusion based on fluid infusion, elimination of incentives, correction of electrolyte disturbances and acid - base balance, etc. Results Good results were gained after comprehensive treatment. All chemical analysis indexes returned to normal, symptoms such as abdominal pain decreased or disappeared in 56 patients within 24 h, and the patients were able to have meal normally. The indexes of the other 24 patients returned to normal within 3 d. Conclusion Reasonable application of exogenous insulin therapy can improve treatment results based on fluid infusion and elimination of incentives in DK patients.

关 键 词：糖尿病酮症酸中毒 综合疗法 胰岛素 

分 类 号：R587.22[医药卫生—内分泌]