论文部分内容阅读
目的:探讨糖尿病酮症酸中毒的临床治疗体会。方法:选取2012年11月至2013年11月期间在我院住院治疗的糖尿病酮症酸中毒患者48例,采取胰岛素治疗、补液治疗、基础治疗方法进行治疗后,对患者的有效率进行分析。结果:48例患者在经过胰岛素、补液、基础治疗后的血糖控制情况均较为理想,平均在5小时后血糖下降到13.9mmol/L,平均在10小时后血糖下降到7.8mmol/L,平均在20~36小时后尿酮体消失。其中有45例患者的病情得到好转,临床症状得到改善,总有效率为93.75%,有3例患者死亡,占6.25%。结论:对发生糖尿病酮症酸中毒的患者进行尽早的诊断和及时有效的治疗可以使患者的抢救率得到提高,使患者的死亡率下降。
Objective: To investigate the clinical treatment of diabetic ketoacidosis. Methods: Forty-eight patients with diabetic ketoacidosis admitted to our hospital from November 2012 to November 2013 were selected and treated with insulin therapy, rehydration therapy and basic therapy. The patients’ efficiency was analyzed. Results: The control of blood glucose in 48 patients after insulin, rehydration and basic treatment were all satisfactory. The mean blood glucose dropped to 13.9mmol / L after 5 hours and the mean blood glucose dropped to 7.8mmol / L after 10 hours 20 to 36 hours after the disappearance of urinary ketone body. Among them, 45 patients improved their symptoms and their clinical symptoms improved. The total effective rate was 93.75%, and 3 patients died, accounting for 6.25%. Conclusion: Early diagnosis and timely and effective treatment of patients with diabetic ketoacidosis can improve the rescue rate and reduce the mortality of patients.