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目的探讨糖尿病酮症酸中毒(DKA)的有效治疗方法。方法对笔者所在医院25例糖尿病酮症酸中毒病例进行回顾性分析。结果糖尿病酮症酸中毒96.6%有明确诱因,其中以感染多见,占72.0%,胰岛素使用不规范占12.0%。96.0%入院前有糖尿病史,平均血糖23.6mmol/L,CO2CP11.8mmol/L。死亡2例,死亡率8.0%。结论快速补液和小剂量胰岛素持续静脉注射是抢救DKA成功的关键。
Objective To investigate the effective treatment of diabetic ketoacidosis (DKA). Methods The author’s hospital 25 cases of diabetic ketoacidosis were retrospectively analyzed. Results 96.6% diabetic ketoacidosis had a clear incentive, of which infection more common, accounting for 72.0%, irregular use of insulin accounted for 12.0%. 96.0% before admission to have a history of diabetes, the average blood sugar 23.6mmol / L, CO2CP11.8mmol / L. 2 died, the mortality rate was 8.0%. Conclusion Rapid rehydration and low-dose insulin continuous intravenous injection is the key to the success of DKA.