收集30例DKA的资料等进行系统分析。结果发现95%以上有明确的诱因,其中以感染多见,87%入院前有糖尿病史,血糖平均22.98mmo1/L,CO2-CP平均8.08mmol/L。昏迷11例,休克1例,死亡率3%。结论早期正确诊断、早期个体化治疗、快速扩容补充足够的液体是抢救DKA成功的关键。用微泵进行胰岛素维持是安全、可靠疗效的保证。 Collect 30 cases of DKA data for systematic analysis. The results showed that more than 95% have clear incentives, of which infection is more common, 87% before admission to a history of diabetes, blood glucose average 22.98mmo1 / L, CO2-CP average 8.08mmol / L. Coma in 11 cases, shock in 1 case, the mortality rate of 3%. Conclusion The correct diagnosis early, early individualized treatment, rapid expansion of adequate fluid supply is the key to the success of DKA. Insulin maintenance with a micropump is a safe and reliable guarantee of efficacy.