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血液透析疗法是治疗尿毒症期糖尿病肾病的有效措施,但血糖不易控制。本文拟将我院收治的7例加以分析。 临床资料 男2例,女5例。年龄38～60岁。病程4～20年。并发右下肢坏疽1例,下肢蜂窝组织炎1例。入院查BUN33.7～77.6mmol/L、Cr546～813mmol/L。空腹血糖4.7～29.5mmol/L,平均20.5mmol/L。尿糖(++)、酮体(一)。血透前常规糖尿病治疗4例,间断治疗2例,未治疗1例。住院后醋酸盐透析5例、碳酸氢盐透析2例,每周2～3次.血透时间2个月～4年,平均2年。药物治疗:皮下注射长效胰岛素1例,长效胰岛素和普
Hemodialysis is an effective treatment for diabetic nephropathy in uremic conditions, but blood glucose is not easily controlled. This article intends to treat our hospital for 7 cases to be analyzed. Clinical data of 2 males and 5 females. Age 38 to 60 years old. Course of 4 to 20 years. Complications of right lower limb gangrene in 1 case, lower extremity cellulitis in 1 case. Admission check BUN33.7 ~ 77.6mmol / L, Cr546 ~ 813mmol / L. Fasting blood glucose 4.7 ~ 29.5mmol / L, an average of 20.5mmol / L. Urine (++), ketone body (a). Hemodialysis in the treatment of conventional diabetes in 4 cases, intermittent treatment in 2 cases, 1 case untreated. Acetate dialysis in hospital after 5 cases, bicarbonate dialysis in 2 cases, 2 to 3 times per week. Hemodialysis time 2 months to 4 years, an average of 2 years. Drug treatment: subcutaneous injection of long-acting insulin in 1 case, long-acting insulin and general