糖尿病酮症酸中毒救治与分析

• 作 者: 秦书春 王海玲 司涛
• 机 构: 新疆博乐市博州人民医院内分泌科,
• 出 处: 实用糖尿病杂志
• 发表日期: 2009年02期
• 关键词: 糖尿病(DM) 酮症酸中毒(DKA)

收治48例糖尿病酮症酸中毒(DKA)的临床资料进行回顾总结。结果:发现DKA96%有明确的诱因,其中以感染多见占60%,不规范治疗占21%。92%患者入院前有糖尿病史。平均血糖23mmol/L,CO2CP10.6mmol/L,昏迷14例,休克3例,死亡2例,死亡率4.2%。结论:快速补充足够的液体和小剂量胰岛素持续静注是抢救DKA成功的关键。

The clinical data of 48 patients with diabetic ketoacidosis (DKA) were retrospectively reviewed. Results: Ninety-six percent of DKA patients were found to have definite causes, of which infection accounted for 60% and non-standard treatment accounted for 21%. 92% of patients had a history of diabetes before admission. Average blood glucose 23mmol / L, CO2CP10.6mmol / L, 14 cases of coma, shock in 3 cases, 2 died, the mortality rate was 4.2%. CONCLUSION: Sustained intravenous infusion of adequate fluid and low doses of insulin is the key to successful DKA rescue.