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目的探讨糖尿病酮症酸中毒(DKA)的诱因及救治方法。方法对26例DKA患者进行临床分析,分析其诱因及治疗方法。采用小剂量胰岛素(RI)持续静脉滴注及纠正水、电解质紊乱,并加强抗感染及综合治疗。结果 26例DKA中1型糖尿病(T1dM)6例,引起DKM诱因主要为停用胰岛素几感染;2型糖尿病(T2dM)20例,引起DKA常见诱因是感染。26例治愈23例,疗效满意。结论积极防治诱因,合理应用胰岛素,小剂量胰岛素持续静脉滴注及综合治疗是成功救治DKA的关键。
Objective To investigate the causes and treatment of diabetic ketoacidosis (DKA). Methods Twenty-six patients with DKA were analyzed for their causes and treatment. The use of small doses of insulin (RI) continuous intravenous infusion and correct water and electrolyte disorders, and enhance anti-infective and comprehensive treatment. Results Twenty-six patients with type 1 diabetes mellitus (T1dM) in DKA had 6 cases, and the predisposing factors of DKM were mainly insulin-refractory ones. Twenty cases of type 2 diabetes mellitus (T2dM) caused common causes of DKA infection. 26 cases were cured in 23 cases, with satisfactory results. Conclusion The positive prevention and treatment incentives, rational use of insulin, continuous infusion of small doses of insulin and comprehensive treatment is the key to successful treatment of DKA.