论文部分内容阅读
在临床急诊工作中经常遇到糖尿病并发脑血管意外的急症患者,由于严重的急性脑血管意外使机体处于应激状态,各种拮抗胰岛素的内分泌激素骤增,特别是对于降糖治疗不规律的病人易诱发糖尿病酮症酸中毒(DKA),临床治疗补液与防治脑水肿颇有矛盾之处。临床抢救治疗过程中,往往只注重脑血管意外的治疗,在未及时纠正血液高渗状态的情况下,盲目加用甘露醇等脱水剂,致使病情恶化。现根据
In clinical emergency work often encounter diabetes mellitus complicated by cerebrovascular accident patients, due to severe acute cerebrovascular accident so that the body in a state of stress, a variety of antagonistic insulin endocrine hormones surge, especially for the treatment of irregular glucose lowering Patients prone to diabetic ketoacidosis (DKA), clinical treatment of rehydration and prevention of cerebral edema quite contradictory. In the course of clinical rescue and treatment, it is often only concerned with the treatment of cerebrovascular accident. Without proper correction of the state of hyperosmolarity, blind addition of a dehydrating agent such as mannitol causes the disease to deteriorate. Now based