糖尿病酮症酸中毒42例临床分析  

Clinical analysis of diabetes DKA on 42 patients

作　　者：叶荣[1] 

机构地区：[1]广东省廉江市人民医院内分泌与代谢科,广东廉江524400

出　　处：《中外医疗》2011年第25期25-26,共2页China & Foreign Medical Treatment

摘　　要：目的探讨糖尿病酮症酸中毒的临床诊治经验,提高临床诊治水平。方法所有患者建立两通道输液,按原体重10%计算输液总量;持续静脉应用小剂量短效胰岛素,剂量为0.1U/(kg.h),同时积极纠正水电解质紊乱。结果经积极治疗后,42例患者病情得到改善;所有病例在尿酮消失,血气分析、电解质恢复正常后出院。结论早期诊断,及时采用合理的治疗方法,密切监测病情进展是提高抢救成功率、降低病死率的关键。Objective To explore the clinical diagnosis and treatment DKA diabetes clinical experience and improve treatment level.Methods All patients set up two channels infusion,press former weight calculated total 10% infusion;Continuous intravenously small dose short-acting insulin dose 0.1U/（kg）,and positive,h corrective water electrolytes disturbance.Results Through positive after treatment,42 patients condition improved;All cases in the urine ketone disappear,blood gas analysis,electrolyte returning to normal after discharge.Conclusion Early diagnosis and prompt the use of reasonable treatment,closely monitoring the progress is to improve the success rate,reduce the mortality of rescue key.

关 键 词：糖尿病酮症酸中毒 补液 胰岛素 

分 类 号：R587.2[医药卫生—内分泌]