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目的:通过对10例以低血糖为起病特征的糖尿病乳酸性酸中毒患者进行回顾性分析,总结其合理的临床诊断方法与治疗措施。方法:选取本院2012年6月至2015年6月收治的10例以低血糖起病糖尿病乳酸性酸中毒患者为研究对象,总结其临床诊断及治疗措施,分析合理临床诊治方案。结果:10例患者中抢救成功7例(70.0%),抢救失败3例(30.0%),低血糖、血乳酸升高、pH降低、血钾升高、血压异常及心率加快为本组患者的典型临床特征。结论:以低血糖起病糖尿病乳酸性酸中毒诊断需结合血糖、血乳酸、血气分析等结果,确诊后及时给予对症治疗,并采用血液净化措施,以提高抢救成功率。
Objective: To retrospectively analyze 10 patients with lactic acidosis due to hypoglycemia, and to summarize their reasonable clinical diagnosis and treatment measures. Methods: From June 2012 to June 2015 in our hospital, 10 patients with lactic acidosis due to hypoglycemia were selected as the research object, and the clinical diagnosis and treatment measures were summarized, and the reasonable clinical diagnosis and treatment plan was analyzed. Results: Among the 10 patients, 7 patients (70.0%) were successfully rescued and 3 patients (30.0%) failed to rescue. Hypoglycemia, elevated blood lactate, decreased pH, elevated serum potassium, abnormal blood pressure, Typical clinical features. Conclusion: The diagnosis of lactic acidosis due to hypoglycemia should be treated with blood glucose, blood lactic acid, blood gas analysis and so on. After diagnosis, symptomatic treatment should be given promptly and blood purification should be taken to improve the success rate of rescue.