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老年糖尿病低血糖昏迷原因及治疗分析
引用本文:杨艺. 老年糖尿病低血糖昏迷原因及治疗分析[J]. 中华医护杂志, 2007, 4(3): 249-250
作者姓名:杨艺
作者单位:中南大学职工医院铁道分院,湖南长沙410075
摘    要:
目的探讨老年糖尿病低血糖昏迷的原因。方法采用回顾性分析46例老年糖尿病低血糖昏迷并行相应对症处理的方法。结果自行加大治疗前药物剂量,进食减少或未及时进食及急性感染是产生低血糖昏迷的主要原因,经抢救处理45例血糖逐渐回升至正常,神志较清,1例死于乳酸酸中毒。结论老年人对血糖调节功能低下,药物过量和进食不当均已导致低血糖,甚至昏迷,治疗过程中应定期监测血糖,指导饮食与治疗。

关 键 词:胰岛疾病 老年糖尿病 低血糖 昏迷 降糖药物
文章编号:1812-7851(2007)03-0249-02
修稿时间:2007-03-05

Analysis on Cause of Coma Induced by Senile Diabetic Hypoglycemia and Corresponding Therapy
Yang Yi. Analysis on Cause of Coma Induced by Senile Diabetic Hypoglycemia and Corresponding Therapy[J]. Chinese Journal of Medicine and Nursing, 2007, 4(3): 249-250
Authors:Yang Yi
Abstract:
Objective To investigate the cause of coma induced by senile diabetic hypoglycemia. Methods A retrospective analysis was performed on 46 senile diabetic patients with hypoglycemic coma. Results The voluntarily increased dosage, reduced or delayed diet, and acute infection were the predominant causes of hypoglycemic coma. Of all 46 subjects, 45 were gradually increased to normal in blood glucose level after receiving corresponding treatment, and the remaining 1 died of lactate acidosis. Conclusion The aged people has glycemic regulation hypo-function, and both excessive dosage and inappropriate diet can induce hypoglycemia, and even coma. Therefore, periodic monitoring of blood glucose level shouM be achieved during treatment to guide the diet and therapy.
Keywords:Pancreatic islet disease   Senile diabetes mellitus   Hypoglycemia   Coma   Glucose-lowering agent
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