糖尿病酮症酸中毒昏迷发病率约占5—10％,可高达25％,在胰岛素问世以前,是内科常见的急症之一,是糖尿病患者死亡的主要原因。近年来,对其发病机理及酮症酸中毒的代谢紊乱认识水平提高,得到及时诊断处理,死亡率明显降低。但是,糖尿病当有严重应激情况或治疗不当时,发生酮症酸中毒昏迷仍为严重危 Diabetic ketoacidosis coma incidence of about 5-10%, up to 25%, before the advent of insulin, is one of the common medical emergency, is the leading cause of death in patients with diabetes. In recent years, its understanding of the pathogenesis and metabolic disorders of ketoacidosis increased awareness, timely diagnosis and treatment, mortality was significantly reduced. However, diabetic patients with severe stress or inappropriate treatment, the occurrence of ketoacidosis is still a serious coma