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糖尿病酮症酸中毒(DKA)的低剂量胰岛素疗法,由于其效果可与大剂量疗法的效果近似,又有避免可能发生低血钾与低血糖的优点,目前已广泛应用于临床。这种疗法的投药途径有静脉滴入、肌肉或皮下注射等。近来国内外较多采用静滴法。作者自1982年以来对部分住院病例试用肌注法,现将疗效总结于下。 1 对象与方法自1982年10月至1989年10月,共收治DKA患者392例,其中单独用低剂量胰岛素肌注治疗的202例。其中男女各半,年龄26～78岁,糖尿病病程1个月～12年。纳入
Low-dose insulin therapy for diabetic ketoacidosis (DKA) has been widely used clinically because of its effect comparable with that of high-dose therapy and its advantages of avoiding hypokalemia and hypoglycemia. The treatment of this route of administration of intravenous infusion, muscle or subcutaneous injection. Recently more and more intravenous infusion method. Authors since 1982, some inpatient cases of intramuscular injection method, the efficacy is summarized below. 1 Subjects and Methods From October 1982 to October 1989, a total of 392 cases of patients with DKA were treated, including alone with low-dose insulin injections of 202 cases of intramuscular injection. Half of them men and women, aged 26 to 78 years old, diabetes duration of 1 month to 12 years. Included