• 糖尿病酮症酸中毒、高血糖高渗综合征及糖尿病酮症酸中毒合并高血糖高渗综合征3种急危重症的临床抢救分析
  • The clinical analysis of three kinds of critical patients in diabetic ketoacidosis, hyperglycemic hyperomolar syndrome and diabetic ketoacidosis complicated with hyperglycemic hyperomolar syndrome
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    DOI:
    中文关键词:  糖尿病酮症酸中毒  高血糖高渗综合征  糖尿病酮症酸中毒并发高血糖高渗综合征  临床抢救
    英文关键词:Diabetic ketoacidosis  Hyperglycemic hyperomolar syndrome  Diabetic ketoacidosis complicated byHyperglycemic hyperomolar syndrome  Clinical rescue
    基金项目:
    作者单位邮编
    陈锋 [鄂东医疗集团市中医医院市传染病医院内分泌科 435000
    刘慧君 [鄂东医疗集团市中医医院市传染病医院内分泌科 
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    中文摘要:
          【】 目的:回顾性分析2004年6月到2016年6月在我科收治的糖尿病酮症酸中毒、高血糖高渗综合征及糖尿病酮症酸中毒合并高血糖高渗综合征3种急危重症患者的临床抢救过程,以加强对疾病的认识、提高抢救成功率。方法:对17例糖尿病酮症酸中毒、2例高血糖高渗综合征及5例糖尿病酮症酸中毒合并高血糖高渗综合征患者均给予补液、小剂量胰岛素静脉输注、纠正电解质紊乱和酸中毒、去除诱因和治疗并发症等抢救治疗。结果:经积极抢救治疗后,17例糖尿病酮症酸中毒患者全部临床好转,2例高血糖高渗综合征患者全部临床死亡(1例死于脑水肿、严重肺部感染,1例死于肾衰竭、上消化道出血、脑水肿),5例糖尿病酮症酸中毒合并高血糖高渗综合征患者中临床好转4例,临床死亡1例(死于上消化道出血、脑水肿、心力衰竭)。结论:高血糖高渗综合征的死亡率最高(100%),其次是糖尿病酮症酸中毒合并高血糖高渗综合征(20%),糖尿病酮症酸中毒的亡死率最低(0%),且临床上3种急危重症的并发症以脑水肿、肾衰竭、上消化道出血最为多见。
    英文摘要:
          【】 Objective: In order to strengthen the understanding of diabetic ketoacidosis, hyperglycemic hyperomolar syndrome and diabetic ketoacidosis complicated with hyperglycemic hyperomolar syndrome and improve the success rate of rescue,analysed the rescue process of these three kinds of critical patients from June 2004 to June 2016 in our department retrospectively.Methods: 17 cases of diabetic ketoacidosis, 2 cases of hyperglycemic hyperomolar syndrome and 5 cases of diabetic ketoacidosis complicated with hyperglycemic hyperomolar syndrome patients were all given salvage therapies,such as rehydration, small dose insulin intravenous infusion, correction of electrolyte imbalance and acidosis, removing the cause and treatment of complications . Results: After active treatments, 17 patients of diabetic ketoacidosis rehabilitated, 2 patients of hyperglycemic hyperomolar syndrome were all dead (1 case died of brain edema,severe pulmonary infection, 1 case died of renal failure, upper gastrointestinal hemorrhage and brain edema),4 cases of 5 diabetic ketoacidosis complicated with hyperglycemic hyperomolar syndrome rehabilitated , 1 case died of upper gastrointestinal hemorrhage, brain edema, heart failure). Conclusion: There is the highest mortality rate of hyperglycemic hyperomolar syndrome (100%), followed by diabetic ketoacidosis complicated with hyperglycemic hyperomolar syndrome (20%)and diabetic ketoacidosis (0%), and there is also the most complication rates of brain edema, renal failure and upper gastrointestinal hemorrhage in these three kinds of critical patients.