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目的提高医师对重症急性胰腺炎并发糖尿病酮症酸中毒的认识。方法对20例重症急性胰腺炎并发糖尿病酮症酸中毒的临床资料进行回顾性分析。结果 10例患者恢复正常进食出院,8例患者保守治疗无效,经急诊手术治疗后痊愈,2例死于多器官功能衰竭。结论重症急性胰腺炎并发糖尿病酮症酸中毒增加诊疗的难度,提高对两者伴发可能的认识可以降低患者的病死率。
Objective To improve physician understanding of severe acute pancreatitis complicated with diabetic ketoacidosis. Methods The clinical data of 20 patients with severe acute pancreatitis complicated with diabetic ketoacidosis were retrospectively analyzed. Results 10 patients returned to normal eating and discharging, 8 patients with conservative treatment ineffective, after emergency surgery cured, 2 patients died of multiple organ failure. Conclusion Severe acute pancreatitis complicated by diabetic ketoacidosis increases the difficulty of diagnosis and treatment, and improving the possible understanding of the two may reduce the mortality of patients.