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目的分析2型糖尿病酮症酸中毒(DKA)的临床诊治要点,提高治愈率,降低病死率。方法对安阳钢铁公司职工总医院1996年至2010年收治的76例DKA患者的临床资料进行总结和分析,76例均采用静脉持续泵入小剂量胰岛素,每1～2小时检测血糖、电解质、尿糖和尿酮体,同时纠正电解质及酸碱平衡失调。结果 75例治愈,血糖均降至6.1～10.01 mmol/L,尿糖和尿酮体阴性;1例死亡。结论 DKA是糖尿病急性并发症和内科急症之一,临床表现复杂多样,无特异性,易漏诊误诊;尽快做出正确的诊断,具体分析,正确使用胰岛素,积极祛除诱因,个体化综合治疗,是减少病死率的关键。
Objective To analyze the clinical diagnosis and treatment of type 2 diabetic ketoacidosis (DKA), improve the cure rate and reduce the mortality. Methods Clinical data of 76 patients with DKA who were admitted to General Staff Hospital of Anyang Iron and Steel Company from 1996 to 2010 were summarized and analyzed. All 76 patients were continuously injected with low dose of insulin by intravenous injection, and blood glucose, electrolytes and urine were detected every 1 to 2 hours Sugar and ketone body, while correcting electrolyte and acid-base balance disorders. Results 75 cases were cured, blood glucose were reduced to 6.1 ~ 10.01 mmol / L, urine and urine ketone body negative; 1 case of death. Conclusion DKA is one of acute complications and medical emergency of diabetes. The clinical manifestations are complex and diverse, non-specific and easy to misdiagnosis; make correct diagnosis as soon as possible. Specific analysis, proper use of insulin and active elimination of individual causes, DKA The key to reducing fatality.