11例糖尿病酮症酸中毒昏迷患者合并重症急性胰腺炎的护理

总结11例糖尿病酮症酸中毒昏迷合并重症急性胰腺炎患者的病情观察要点和护理经验。护理要点包括:早期充分的液体复苏,预防并发症发生;纠正内环境紊乱、维持血糖稳定;早期提供营养支持;实施心理护理并给予健康指导。11例患者经过积极抢救与精心护理,未出现严重并发症,血糖控制平稳,电解质紊乱得到纠正,营养状况良好,情绪稳定,15～20 d病情稳定后出院。     

以酮症酸中毒为首发症状的小儿糖尿病临床分析

目的探讨以酮症酸中毒为首发症状的小儿糖尿病的临床治疗效果。方法选择36例以酮症酸中毒为首发症状的小儿糖尿病患者随机分成两组,对照组接受常规治疗方案,研究组在常规治疗方案基础上实施小剂量胰岛素治疗,对比两组的血糖控制水平、实验室检查结果及治疗有效率。结果与对照组相比,研究组尿素氮的检测结果偏高,C反应蛋白、钠离子、氯离子检测结果偏低(P<0.05),钾离子、钙离子水平及白细胞计数情况两组差异无统计学意义(P>0.05),而研究组患儿的血糖控制情况及治疗总有效率明显优于对照组(P<0.05)。结论为取得更优的治疗效果,需尽早对小儿糖尿病酮症酸中毒患者做出明确诊断,为患者及时补液,并进行小剂量胰岛素静脉滴注,这可以最大程度的帮助患者控制病情,挽救患儿的宝贵生命。     

中西医结合急救处理102例糖尿病酮症酸中毒患者的临床分析

目的:探讨糖尿病酮症酸中毒患者急救最佳处理方法。方法:选取2008-2011年来我院治疗的糖尿病酮症酸中毒患者102例,将其随机分为实验组(A组)和对照组(B组),每组51例,B组给予小剂量胰岛素及补液治疗,A组在B组的治疗基础上加入本院特制中药治疗,观察A、B两组患者的治疗的总有效率,血糖正常所需时间、尿酮体消失所需时间、酸中毒纠正所需时间。结果:A组治疗的总有效率要显著高于B组(P<0.05),A组血糖正常所需时间、尿酮体消失所需时间、酸中毒纠正所需时间均要显著短于B组(P<0.05)。结论:中西医结合治疗糖尿病酮症酸中毒患者的疗效要显著高于单纯的西医治疗,值得临床推广。     

Diabetic ketoacidosis during gestational diabetes. A case report

Diabetic ketoacidosis is an infrequent complication of gestational diabetes but results in fetal loss. It usually occurs in the later stages of pregnancy. We report two young pregnant women who were admitted because of newly diagnosed diabetes with ketoacidosis. One patient presented with intrauterine fetal demise.     

Tongue necrosis secondary to mucormycosis in a diabetic patient: A first case report in Malaysia

Mucormycosis is a rare fungal infection and high mortality that commonly affects patients with the weakened immune system. We present an unusual case of tongue necrosis probably due to the healthcare-associated mucormycosis (HCM) in a diabetic patient. Although cannot be proved with certainty, we surmise that intubation as a risk factor in our case. The diagnosis was confirmed by histopathological examination (HPE) of the necrotic tissue specimen. The patient was responded well to lipid complex amphotericin B (250 mg) regime after surgery. Subsequent follow up revealed that no signs of recurrence. Early, recognition, diagnosis, prompt treatment and awareness among clinician are representing the most effective way of managing the disease.     

糖尿病酮症酸中毒临床诊治体会

目的：分析、探讨糖尿病酮症酸中毒的临床诊治体会。方法：选取本院于2007年6月～2009年6月收治的糖尿病酮症酸中毒患者60例,其中30例采用常规治疗（对照组）,30例采用胰岛素泵治疗（治疗组）,比较两组的疗效。结果：糖尿病酮症酸中毒致病主要原因为感染,治疗组发生低血糖的人次和胰岛素用量显著少于对照组,P〈0.05,但两组患者血糖达标和酮体消失的时间差异无统计学意义,P〉0.05。结论：糖尿病酮症酸中毒容易发生并发症,易导致严重的代谢紊乱,严密观察病情及时应用胰岛素治疗,是抢救成功的关键。     

Type 1 diabetes mellitus with ketoacidosis in infancy

Type 1 diabetes mellitus is considered a common form of diabetes mellitus in young people. Type 1 diabetes in infants is rare. However, the condition is rare in infants. Type 1 diabetes has not been reported in the literature in 45 days old child of an Indian population. Type 1 diabetes typically begins between the ages of 7 and 13 years, but 1–3% of patients are under 1 year of age. This communication describes a case of type 1 diabetes in a 45 days old male child which presented as diabetic ketoacidosis. It was effectively managed with continuous intravenous regular insulin infusion. The present report is made because of the rarity of the condition in the early age group of Indian children.