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文章总结30例间歇小剂量胰岛素[0.1 U/(kg·h)]静注治疗糖尿病酮症酸中毒(DKA)的治疗效果,显示与持续静滴小剂量胰岛素治疗DKA同样有效。在治疗后的6~8 h内血糖稳步降至适当水平(降至≤2.5 g/L),无出现血糖明显波动、低血糖反应及脑水肿。间歇静注时在补充血容量时不需另建立输液途径以求纠正失水,故方法更为简便,更易掌握。此外积极补溶、抗感染、加强临床观察是DKA抢救成功的关键。
The article summarizes the therapeutic effect of 30 intermittent small doses of insulin [0.1 U / (kg · h)] intravenous treatment of diabetic ketoacidosis (DKA), which is shown to be as effective as continuous intravenous infusion of small doses of insulin in the treatment of DKA. Within 6-8 hrs after treatment, blood glucose decreased steadily to the appropriate level (down to ≤ 2.5 g / L), no obvious fluctuations in blood glucose, hypoglycemia and cerebral edema. Intermittent intravenous infusion of blood volume without the need to establish another infusion in order to correct the loss of water, so the method is more simple and easier to grasp. In addition, active solution, anti-infection, strengthen clinical observation is the key to the success of DKA rescue.