论文部分内容阅读
[目的]研究低血糖昏迷急诊救治的有效方案。[方法]随机选取某院2000年1月~2010年9月收治的165例低血糖昏迷病人,急诊救治措施均为及时检查血糖,证实血糖值均低于2.8mmol/L,立即静脉注射25%~50%葡萄糖40~60ml,未恢复者加以10%葡萄糖持续静滴治疗。[结果]122例患者的症状缓解迅速,意识明显好转;39例患者接受后续静脉滴注足量葡萄糖后,症状逐渐缓解,意识逐渐清醒;4例患者因并发脑水肿,加用糖皮质激素和甘露醇,意识转为清醒。无死亡病例。[结论]对低血糖昏迷的诊断及治疗必须迅速、及时、正确,早期诊断、早期治疗是抢救成功的关键。
[Objective] To study the effective treatment of hypoglycemic coma emergency treatment. [Methods] A total of 165 patients with hypoglycemic coma admitted to our hospital from January 2000 to September 2010 were randomly selected. The emergency measures were to check the blood glucose in time and confirm that the blood glucose was lower than 2.8mmol / L and immediate intravenous injection of 25% ~ 50% glucose 40 ~ 60ml, no recovery to 10% glucose continuous intravenous infusion. [Results] The symptoms of 122 patients were relieved quickly and their consciousness improved obviously. After receiving intravenous infusion of adequate glucose, 39 patients gradually relieved their symptoms and became more conscious. Four patients were complicated by cerebral edema and glucocorticoid Mannitol, consciousness to awake. No deaths. [Conclusion] The diagnosis and treatment of hypoglycemic coma must be prompt, timely, correct, early diagnosis and early treatment are the keys to successful treatment.