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本文总结了我科用静滴小剂量胰岛素方法抢救糖尿病酮症酸中毒10例体会。胰岛素按0.1u/kg·h给予,先计算4小时量,加入生理盐水240ml内静滴,输入速度为60ml/h小。当血糖降至14~16.8mmol/L时,胰岛素用量减至0.05u/kg.h,加入2.5%糖液中继续静滴。当血糖降至11.2~14mmol/L时,改为皮下注射,10例病人除1例死于急腹症休克外.9例酮症酸中毒均得到及时纠正。抢救过程中无1例出现低血糖、低血钾和脑水肿。表明静滴小剂量胰岛素治疗酮症酸中毒是安全、有效的。
This article summarizes our department with intravenous infusion of small doses of insulin to rescue diabetic ketoacidosis 10 cases of experience. Insulin by 0.1u / kg · h to give, first calculate the amount of 4 hours, added intravenous infusion of 240ml normal saline, the input speed of 60ml / h small. When blood glucose dropped to 14 ~ 16.8mmol / L, insulin dosage reduced to 0.05u / kg. h, add 2.5% sugar solution to continue intravenous infusion. When the blood sugar dropped to 11.2 ~ 14mmol / L, to subcutaneous injection, 10 patients in addition to an exception died of acute abdomen outside the shock. Nine cases of ketoacidosis were promptly corrected. None of the patients showed hypoglycemia, hypokalemia and cerebral edema during the rescue. It is safe and effective to use intravenous infusion of small doses of insulin to treat ketoacidosis.