快速血糖测定在低血糖昏迷院前急救中的应用 |
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引用本文: | 彭辉强,陈曼佳,陈小华,刘卫平,吴贤仁. 快速血糖测定在低血糖昏迷院前急救中的应用[J]. 河北医学, 2010, 16(3): 325-327 |
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作者姓名: | 彭辉强 陈曼佳 陈小华 刘卫平 吴贤仁 |
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作者单位: | 汕头大学医学院第一附属医院急诊科,广东,汕头,515041;汕头大学医学院第二附属医院,广东,汕头,515041 |
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摘 要: | 目的:探讨快速血糖测定在低血糖昏迷院前急救中的应用价值。方法:回顾性分析急诊科抢救的86例低血糖昏迷患者的临床资料,其中院前经快速血糖测定明确诊断的42例为院前急救组,自行送来我院急诊经血生化检查明确诊断的44例为对照组。两组明确诊断后均予应用50%葡萄糖(50%GS)40~60ml静推,继以10%葡萄糖(10%GS)500ml静滴。结果:院前急救组与对照组相比较,从低血糖昏迷发病至入急诊室时间、接诊至明确诊断时间、昏迷至应用50%GS时间、应用50%GS至清醒时间明显均较短,不良预后发生率明显低于对照组,P均〈0.05。结论:院前急救快速血糖测定能及时明确低血糖昏迷的诊断,为抢救患者赢得了时间,对院前急救起着举足轻重的意义。
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关 键 词: | 快速血糖测定 低血糖昏迷 院前急救 |
Application of quickly Blood Sugar Testing in Hypoglycemic Coma of Pre-hospital Care |
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Affiliation: | PENG Hui-qiang,et al(The First Affiliated Hospital of Shantou University,Guangdong Shantou 515041,China) |
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Abstract: | Objective: To investigate the application value of quickly blood sugar testing in hypoglycemic coma of pre-hospital care.Method: We retrospectivly analyzed the clinical data of 88 hypoglycemic coma patients in emergency department,42 cases diagnosed by quickly blood sugar testing belong to pre-hospital care group,and the control group were 44 cases of diagnosed by blood vessel biochemistry testing.The 2 groups were dealed with 50% glucose(40~60ml) injecting,then with 10% glucose(500 ml) maintain.Result: Pre-hospital care group costed less in the time from coma to hospital,from seeing doctor to diagnosed,from coma to 50% glucose injection,from injection to being conscious,and had lower bad prognosis rate compared with control group(P 0.05).Conclusion: Quickly blood sugar testing of pre-hospital care can promptly diagnose hypoglycemic coma,save the rescue time for patients. |
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Keywords: | Quickly blood sugar testing Hypoglycemic coma Pre-hospital care |
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