镁是许多系统特别是高能磷酸键所必需,它对正常细胞功能的重要性日益被公认,但在严重糖尿病酮症酸中毒时镁有可能丧失常被忽视。 作者报告一例34岁女性Ⅰ型糖尿病患者,20年来每日用42单位同型杂种胰岛素控制,因尿路感染促发严重酮症酸中毒而入院。入院后经静脉输液补 Magnesium is required for many systems, especially for high-energy phosphate linkages, and its importance for normal cellular function is increasingly recognized, but magnesium may often be disregarded in severe diabetic ketoacidosis. The authors report a 34-year-old woman with type 1 diabetes who was treated with 42 units of the same type of hybrid insulin daily for 20 years and was hospitalized for urinary tract infection to develop severe ketoacidosis. After admission by intravenous infusion make up