妊娠期糖尿病酮症酸中毒的处理

妊娠期糖尿病酮症酸中毒是一种少见的产科危重症,是以高血糖、高血酮、严重脱水和代谢性酸中毒为主要临床表现的一种综合征,若治疗不及时则母婴死亡率及病率明显升高。及时给予紧急补充血容量,同时辅以胰岛素补充治疗。病情多能快速缓解,母儿预后良好。

Treatment of diabetic ketoacidosis of gestational diabetes mellitus

Diabetic ketoacidosis(DKA) of gestational diabetes mellitus is a rare obstetrical critical illness,which presenting with hyperglycemia,ketonemia,hypovolemic shock and acidosis.DKA occurs in situations of absolutely or relatively insulin deficiency,which promotes lipolysis and ketogenesis,leading to hyperketonemia.Both the mother and the fetus are at risk for significant morbidity and mortality.Prompt recognition of the clinical manifestations of diabetic ketoacidosis,followed by appropriate timely treatment...