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目的探讨血液透析治疗糖尿病乳酸酸中毒的疗效。方法回顾性分析2011年8月至2012年12月收治的16例糖尿病乳酸酸中毒的临床资料。所有患者均在常规治疗基础上一经诊断即接受血液透析治疗,透析时透析液流量调小为300ml/min,血流量控制于100-150ml/min,每次透析持续3～4h,根据患者是否合并浮肿及血压情况决定透析超滤。结果治疗3d后全部患者血乳酸下降、血pH上升,病情均有所好转。结论应用血液透析治疗糖尿病乳酸酸中毒疗效确切,值得推广。
Objective To investigate the therapeutic effect of hemodialysis on diabetic lactic acidosis. Methods The clinical data of 16 cases of diabetic lactic acidosis admitted from August 2011 to December 2012 were retrospectively analyzed. All patients were diagnosed on the basis of conventional treatment that hemodialysis treatment, dialysis dialysis fluid flow was reduced to 300ml / min, blood flow control at 100-150ml / min, each dialysis lasts 3 ~ 4h, according to whether the merger of patients Edema and blood pressure decisions dialysis ultrafiltration. Results After 3 days of treatment, blood lactate decreased, blood pH increased, and the condition improved. Conclusion The application of hemodialysis in the treatment of diabetic lactic acidosis is effective and worthy of promotion.