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2型糖尿病乳酸性酸中毒并上消化道出血6例临床分析
引用本文:吴满辉,林小鸿. 2型糖尿病乳酸性酸中毒并上消化道出血6例临床分析[J]. 岭南急诊医学杂志, 2012, 0(4): 268-269
作者姓名:吴满辉  林小鸿
作者单位:中山大学孙逸仙纪念医院急诊科510120
摘    要:目的:探讨2型糖尿病乳酸性酸中毒并上消化道出血的特点及防治方法.方法:回顾性分析2000年1月至2011年12月收治的糖尿病乳酸性酸中毒患者8例的临床资料.结果:糖尿病乳酸性酸中毒并上消化道出血的发病率为6/8,其中黑便和呕吐咖啡样物各3例,经治疗7~15天,痊愈4例,死亡2例.结论:糖尿病乳酸性酸中毒并上消化道出血发生率高,需尽早防治.

关 键 词:糖尿病  乳酸性酸中毒  上消化道出血

Clinical Analysis of 6 Patients with Type 2 of Diabetes Complicated with Lactic Acidosis and Upper Gastrointestinal Hemorrhage
WU Man-hui,LIN Xiao-hong. Clinical Analysis of 6 Patients with Type 2 of Diabetes Complicated with Lactic Acidosis and Upper Gastrointestinal Hemorrhage[J]. Lingnan Journal of Emergency Medicine, 2012, 0(4): 268-269
Authors:WU Man-hui  LIN Xiao-hong
Affiliation:Department of Emergency, Memorial Hospital of Sun Yat-sen, Sun Yat-sen University, Guangzhou, 510120
Abstract:Objective: To explore the clinical characteristics, prophylaxis and treatment to patients with type 2 of diabetes complicated with lactic acidosis and upper gastrointestinal hemorrhage. Methods: The clinical data of 8 patients with type 2 of diabetes complicated with lactic acidosis were respectively reviewed from Jan. 2000 to Dec. 2011. Results: Among the 8 cases, 6 cases suffered from upper gastrointestinal hemorrhage, and 3 cases manifested melena or haematemesis. 4 cases recovered after 7N14 days treatment and 2 eases died. Conclusions: Early treatment and prophylaxis should be used to patients with type 2 of diabetes complicated with lactic acidosis due to the high occurrence of upper gastrointestinal hemorrhage.
Keywords:diabetes mellitus  lactie acidosis  upper gastrointestinal hemorrhage
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