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目的探讨老年糖尿病低血糖症的治疗及预防。方法轻者口服糖水或进食后症状迅速缓解,重者立即静脉注射50%葡萄糖液40～60ml,随以10%葡萄糖静脉滴注,根据血糖情况随时调整用量,直至患者神志转清,病情稳定,密切监测血糖48～72h。结果本组45例患者中2例严重低血糖症治疗无效死亡,余患者均好转或痊愈出院。结论临床医师应加强宣教,对老年糖尿病低血糖症高度重视,积极预防其发生。使患者做到合理饮食、合理运动、合理用药,定时监测血糖,一旦发现经快速血糖检测证实后及时处理。
Objective To investigate the treatment and prevention of senile diabetic hypoglycemia. The method of light oral or rapid relief of symptoms after eating, severe immediate intravenous injection of 50% glucose solution 40 ~ 60ml, with 10% glucose intravenous infusion, according to the blood glucose at any time to adjust the dosage until the patient consciousness clear, stable condition, Close monitoring of blood glucose 48 ~ 72h. Results In this group of 45 patients, 2 cases of severe hypoglycemia treatment died of ineffectiveness, the rest were improved or discharged. Conclusion Clinicians should strengthen education, attach great importance to the elderly diabetic hypoglycemia, and actively prevent their occurrence. So that patients do a reasonable diet, exercise, rational use of drugs, regular monitoring of blood glucose, once found to be promptly processed after the prompt blood glucose test confirmed.