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糖尿病患者由于胰岛细胞功能受损,存在血糖升高,蛋白质代谢紊乱,免疫功能低下等诸多症状,会因各种诱因引起急性并发症,如糖尿病酮症酸中毒(DKA)、低血糖昏迷、高血糖高渗性昏迷等,极易造成各类感染。在高血糖状态下,感染往往不易控制,血糖也更加难以调节,最后造成严重感染,是糖尿病患者死亡的重要原因之一。本文通过对1例糖尿病患者急性胰腺炎(AP)发作合并酮症酸中毒的药学监护,探讨临床药师在实际工作中,如何对糖尿病伴酮症酸中毒患者进行个体化的药学监护,从而改善其治疗效果。1病例简介患者,男,26岁,1周前无明显诱因于家中出现腹痛伴血便,脐周腹痛为主,呈阵发性,当天共解血便3次,开始为成形便,混有少量鲜血,后2次为稀便混少量鲜血,大便总量约
Due to the impaired islet cell function, diabetic patients have many symptoms such as hyperglycemia, abnormal protein metabolism and immunocompromised patients. They may cause acute complications such as diabetic ketoacidosis (DKA), hypoglycemic coma, high Hyperosmolar coma, etc., can easily lead to various types of infections. In hyperglycemic state, infection is often difficult to control, blood glucose is more difficult to regulate, and finally cause serious infection, is one of the important causes of death in diabetic patients. In this paper, one case of diabetic patients with acute pancreatitis (AP) combined with ketoacidosis drug monitoring, clinical pharmacists in the actual work, how to treat patients with diabetic ketoacidosis individualized pharmacy care, so as to improve its treatment effect. 1 case description Patients, male, 26 years old, no obvious incentive 1 week ago at home abdominal pain with bloody stool, umbilical abdominal pain based, paroxysmal, the same day to understand bloody stool 3 times, began to shape it, mixed with a small amount of blood , After 2 times for a small amount of loose stool a small amount of blood, total stool about