论文部分内容阅读
患者男性,26岁,1985月9月18日入院,住院号23863。1984年11月在本科确诊糖尿病后,长期应用胰岛素(RI)40U/日治疗,但尿糖多为(卅)。入院前一周因胰岛素暂缺而中断治疗后,出现明显的多饮、多尿、肢体软弱无力而入院。体检:神志清。除皮肤干燥、轻度脱水外,余均无异常发现。实验室检查:空腹血糖371.2mg/dl,BUN 9.76mg/dl,CO_2CP 50.8Vol%,K~+ 4.4mmol/L,Na~+ 125mmol/L,Cl~-152mmol/L,GPT 23U,尿糖(卌),尿酮(卅),蛋白(-)。临床诊断:糖尿病酮症。治疗经过:入院第一日即给予静滴生理盐水500ml内含RI 20U,继以生理盐水1000ml及10%氯化钾20ml。
Male, 26 years old, admitted to hospital on September 18, 1985, hospital number 23863. Long-term use of insulin (RI) 40U / day after 1984 diabetes diagnosis in our department, but mostly urine sugar (卅). One week before admission due to the lack of insulin interrupt treatment, there was significant drowsiness, polyuria, limb weakness and admission. Physical examination: mind clear. In addition to dry skin, mild dehydration, I found no abnormality. Laboratory tests: fasting blood glucose 371.2mg / dl, BUN 9.76mg / dl, CO_2CP 50.8Vol%, K ~ + 4.4mmol / L, Na ~ 125mmol / L, Cl ~ -152mmol / L, GPT 23U,卌), urinary ketone (卅), protein (-). Clinical diagnosis: diabetic ketosis. After treatment: the first day of admission is given intravenous infusion of 500ml RI 20U, followed by saline 1000ml and 10% potassium chloride 20ml.