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目的:探讨糖尿病酮症酸中毒合并多脏器衰竭的临床特征、诱因与治疗预后。方法:选择2009年2月～2012年5月我院收治的糖尿病酮症酸中毒患者260例,其中合并多脏器衰竭70例,对其临床资料进行回顾调查。结果:感染是糖尿病酮症酸中毒合并多脏器衰竭的主要诱因,以呼吸道感染所占的比例最大。综合治疗后的有效率为95.7%。结论:糖尿病酮症酸中毒合并多脏器衰竭病情比较危急,预后比较差,应根据不同的情况给予综合治疗措施。
Objective: To investigate the clinical features, causes and prognosis of diabetic ketoacidosis complicated with multiple organ failure. Methods: From February 2009 to May 2012, 260 patients with diabetic ketoacidosis admitted to our hospital were selected. Among them, 70 cases were complicated with multiple organ failure, and their clinical data were retrospectively investigated. Results: Infection was the main cause of diabetic ketoacidosis complicated with multiple organ failure, with respiratory tract infection accounting for the largest proportion. After treatment, the effective rate was 95.7%. Conclusion: The condition of diabetic ketoacidosis complicated with multiple organ failure is more critical and the prognosis is rather poor. Comprehensive treatment measures should be given according to different situations.