Respiratory failure in diabetic ketoacidosis  

作　　者：Nikifor K Konstantinov Mark Rohrscheib Emmanuel I Agaba Richard I Dorin Glen H Murata Antonios H Tzamaloukas 

机构地区：[1]University of New Mexico School of Medicine, Albuquerque [2]Division of Nephrology, Department of Medicine, University of New Mexico School of Medicine [3]Division of Nephrology, Department of Medicine, University of Jos Medical School [4]Section of Endocrinology, Medicine Service, Raymond G. Murphy Veterans Affairs Medical Center [5]Department of Medicine, University of New Mexico School of Medicine [6]Section of Informatics, Medicine Service, Raymond G. Murphy Veterans Affairs Medical Center [7]Section of Nephrology, Medicine Service, Raymond G. Murphy Veterans Affairs Medical Center

出　　处：《World Journal of Diabetes》2015年第8期1009-1023,共15页世界糖尿病杂志（英文版）（电子版）

摘　　要：Respiratory failure complicating the course of diabetic ketoacidosis(DKA)is a source of increased morbidity and mortality.Detection of respiratory failure in DKA requires focused clinical monitoring,careful interpretation of arterial blood gases,and investigation for conditions that can affect adversely the respiration.Conditions that compromise respiratory function caused by DKA can be detected at presentation but are usually more prevalent during treatment.These conditions include deficits of potassium,magnesium and phosphate and hydrostatic or non-hydrostatic pulmonary edema.Conditions not caused by DKA that can worsen respiratory function under the added stress of DKA include infections of the respiratory system,pre-existing respiratory or neuromuscular disease and miscellaneous other conditions.Prompt recognition and management of the conditions that can lead to respiratory failure in DKA may prevent respiratory failure and improve mortality from DKA.Respiratory failure complicating the course of diabeticketoacidosis （DKA） is a source of increased morbidityand mortality. Detection of respiratory failure in DKA requiresfocused clinical monitoring, careful interpretationof arterial blood gases, and investigation for conditionsthat can affect adversely the respiration. Conditions thatcompromise respiratory function caused by DKA can bedetected at presentation but are usually more prevalentduring treatment. These conditions include deficits ofpotassium, magnesium and phosphate and hydrostatic ornon-hydrostatic pulmonary edema. Conditions not causedby DKA that can worsen respiratory function under theadded stress of DKA include infections of the respiratorysystem, pre-existing respiratory or neuromuscular diseaseand miscellaneous other conditions. Prompt recognitionand management of the conditions that can lead torespiratory failure in DKA may prevent respiratory failureand improve mortality from DKA.

关 键 词：Diabetic KETOACIDOSIS RESPIRATORY failure HYPOKALEMIA HYPOMAGNESEMIA HYPOPHOSPHATEMIA Pulmonary edema Adult RESPIRATORY distress syndrome Pneumonia NEUROMUSCULAR disease 

分 类 号：R587.2[医药卫生—内分泌] R563.8[医药卫生—内科学]