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糖尿病酮症酸中毒36例临床分析
引用本文:林道庞,刘延东,陈玉成. 糖尿病酮症酸中毒36例临床分析[J]. 岭南急诊医学杂志, 2011, 16(4): 268-269. DOI: 10.3969/j.issn.1671-301X.2011.04.010
作者姓名:林道庞  刘延东  陈玉成
作者单位:1. 广东边防总队深圳医院急诊科,518029
2. 中山大学孙逸仙纪念医院急诊科
摘    要:目的:总结糖尿病酮症酸中毒(DKA)的临床特点和小剂量胰岛素治疗的疗效.方法:回顾性分析2007年1月至2010年12月收治的36例DKA的临床资料.结果:36例中治愈34例,死亡2例,死于脑血管意外和急性心肌梗死各1例.结论:及时明确DKA诊断、消除诱因和采取以小剂量胰岛素、液体复苏为主的综合治疗是提高DKA的治愈率,降低死亡率的关键.

关 键 词:糖尿病  酮症酸中毒  临床特点  胰岛素

Clinical Analysis of 36 Patients with Diabetic Ketoacidosis
LIN Dao-pang,LIU Yan-dong,CHEN Yu-chang. Clinical Analysis of 36 Patients with Diabetic Ketoacidosis[J]. Lingnan Journal of Emergency Medicine, 2011, 16(4): 268-269. DOI: 10.3969/j.issn.1671-301X.2011.04.010
Authors:LIN Dao-pang  LIU Yan-dong  CHEN Yu-chang
Affiliation:LIN Dao-pang,LIU Yan-dong,CHEN Yu-chang (1.Departrnent of Emergency, Guangdong Frontier Defence Armied Police Hospital,Shenzhen, 518029 2.Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou)
Abstract:Objective: To sum the clinical characteristic and effect of low dose insulin treatment on diabetic ketoacidosis(DKA). Methods: The clinical data of 36 patients with DKA were analyzed retrospectively from Jan 2007 to Dec 2010. Results: Among the 36 cases, 34 cases cured and 2 died from cerebrovascular accident and acute myocardial infarction. Conclusion: It is the key to improve the a recovery rate and decrease the mortality of DKA that DKA was diagnosed promptly, the inducements were eliminated, and the general treatments mainly include low dose insulin and liquid resuscitation.
Keywords:diabetes  ketoacidosis  clinical characteristic  insulin
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