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目的研究分析糖尿病低血糖昏迷的临床急救方法及与预防对策。方法将2007年1月～2012年3月间来我院急诊科就诊资料完备的48例糖尿病低血糖昏迷患者临床资料进行回顾性分析。结果研究对比发现,低血糖昏迷患者发生低血糖昏迷时,血糖低于2.8mmol/L,经确诊后采取50%葡萄糖注射液静脉推注,仍然昏迷者给予糖皮质激素类药物、20%甘露醇或脑细胞保护剂。48例昏迷患者39例于20分钟—2小时苏醒。10日后41例患者康复出院,4例患者记忆衰退反应迟钝,3例患者因身体器官衰竭死亡。结论临床急救对糖尿病低血糖昏迷患者非常有必要。急救中应提高血糖检测处理能力,并实施针对性预防控制。
Objective To study the clinical emergency methods and prevention measures of diabetic hypoglycemic coma. Methods A retrospective analysis was performed on the clinical data of 48 patients with diabetic hypoglycemic coma who came to our emergency department during January 2007 to March 2012. Results The study found that hypoglycemic coma patients with hypoglycemic coma, blood glucose less than 2.8mmol / L, after the diagnosis of 50% glucose injection intravenous injection, still coma were given glucocorticoid drugs, 20% mannitol Or brain cell protectant. Forty-eight patients in coma were awakened in 20 minutes -2 hours. After the 10th day, 41 patients were discharged from hospital, 4 patients had unresponsive memory failure, and 3 patients died of bodily organ failure. Conclusion Clinical first aid is very necessary for diabetic patients with hypoglycemic coma. First aid should improve blood glucose detection and processing capabilities, and the implementation of targeted prevention and control.