糖尿病酮症酸中毒的临床诊治研究  

Clinical Diagnosis and Treatment of Diabetic Ketoacidosis

作　　者：梁袢雯[1] LIANG Yi-wen （Huizhou Centre People＇s Hospital,Huizhou 516000,China ）

机构地区：[1]惠州市中心人民医院,广东惠州516000

出　　处：《医学信息》2011年第21期83-83,共1页Journal of Medical Information

摘　　要：目的探讨糖尿病酮症酸中毒的诱因及临床表现等，寻找最适合的治疗方法。方法回顾性分析我院自2009年6月～2010年6月收治的28例糖尿病酮症酸中毒患者的，1名床资料，分析其诱因，对其采用纠正电解质紊乱及酸碱平衡失调等对症治疗．以及小荆量胰岛素降糖，监测血糖、血尿酮体的综合治疗措施，密切观察患者的临床表现及疗效。结果28例糖尿病酮症酸中毒患者中，诱发DKA主要原因为感染，而24例在发病24h内血糖降至8．2—11．0mmol／L，平均（8．5±2．5）mmol／L．症状基本消失，血酮、尿酮、尿糖均转阴，余化验指标均正常。其余患者于发病后2日内获得治愈。所有患者经治疗2~3周后痊愈出院。结论糖尿病酮症酸中毒的最主要诱因为感染．需要及早做出正确诊断，迅速补液及小剂量胰岛素持续静脉滴注，在积极祛除诱因同时采用监测血糖、电解质和对症治疗等，以上均是抢救DKA成功的关键。Objective To investigate the causes and clinical manifestations of diabetic ketoacidosis, search for the most appropriate treatment method. Methods Retrospective analysis of our hospital from 2009 June to 2010 June, 28 cases of diabetic ketoacidosis patients with the clinical data, analysis of its causes, on the correction of electrolyte disturbance and acid-base balance disorders such as symptomatic treatment, and small dose of insulin hypoglycemic, monitoring of blood glucose, urine ketone body comprehensive treatment measures, close observation of patients with clinical manifestations and the curative effect. Results 28 cases of patients with diabetic ketoacidosis, induced DKA because of infection, and 24 cases in the pathogenesis of 24h in blood glucose to 8.2 -11.0mmol / L, the average （ 8.5 ±2.5） mmol / L, the symptoms disappeared, blood ketone, urine ketone, urine is cloudy, laboratory indicators are more than normal. The remaining patients with onset after 2 days of healing. After treatment all patients recovered after 2 - 3 weeks.Conclusion Diabetic ketoacidosis is the main inducement for infection, the need for early correct diagnosis, rapid fluid replacement and small dose of insulin infusion, actively remove inducement by monitoring blood glucose, electrolytes and symptomatic treatment, above all is to save the key to the success of DKA.

关 键 词：糖尿病酮症酸中毒(DKA) 临床诊治 研究 

分 类 号：R587.2[医药卫生—内分泌;医药卫生—临床医学;医药卫生—内科学]