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糖尿病酮症酸中毒是儿童常见危急重症,治疗延误或治疗不当会影响糖尿病患儿的预后。国内儿科内分泌遗传代谢学组发布的糖尿病酮症酸中毒处理方案极大地提高了国内儿科救治水平,美国糖尿病学会2006年发布了小儿糖尿病酮症酸中毒治疗方案,与国内方案比较更为细化,在胰岛素治疗开始时间、纠正酸中毒指征及补钾等方面均有所不同,且更强调脑水肿的发现与治疗,值得借鉴。
Diabetic ketoacidosis is a common critical illness in children, treatment delay or improper treatment will affect the prognosis of children with diabetes. Domestic pediatric endocrine genetic metabolic group released diabetic ketoacidosis treatment program has greatly increased the level of domestic pediatric treatment, the American Diabetes Association released in 2006 pediatric diabetic ketoacidosis treatment program, compared with the domestic program more detailed, Insulin treatment at the beginning of time, to correct indications and acidosis, potassium and other aspects are different, and more emphasis on the discovery and treatment of cerebral edema, it is worth learning.