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目的探讨糖尿病酮症酸中毒的救治方法和临床疗效。方法回顾分析我科救治的糖尿病酮症酸中毒患者80例的临床资料。结果 80例患者中,有77例抢救成功,经系统治疗后痊愈出院,16例昏迷患者神智均转清醒,未留下智力障碍。有3例死亡(均合并3个以上器官衰竭)。治疗的总有效率96.25%,死亡率3.75%。结论临床上治疗糖尿病酮症酸中毒时应遵循尽快补液恢复血容量、纠正失水状态,降低血糖,纠正电解质及酸碱平衡失调的原则,同时积极寻找和消除诱因,减少并发症,降低病死率。
Objective To investigate the treatment and clinical efficacy of diabetic ketoacidosis. Methods The clinical data of 80 patients with diabetic ketoacidosis who were treated by our department were retrospectively analyzed. Results Of the 80 patients, 77 were successfully rescued and were discharged after systemic treatment. All 16 coma patients were mentally and mentally retarded, leaving no mental retardation. There were 3 deaths (more than 3 organ failure combined). The total effective rate of treatment was 96.25% and mortality rate was 3.75%. Conclusion The clinical treatment of diabetic ketoacidosis should follow the principle of rehydration as soon as possible to restore blood volume, correct dehydration, reduce blood glucose, correct electrolyte and acid-base balance disorders, and actively seek and eliminate incentives to reduce complications and reduce mortality .