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目的:探讨慢性肾脏病并发低血糖患者的临床诊治方法。方法:选取36例慢性肾脏病并发低血糖患者为研究对象,对其临床资料进行回顾性分析和总结。慢性肾脏病并发低血糖的治疗经验是首先控制低血糖,对昏迷患者立即静脉注射50%葡萄糖40~60mL,较为严重者继续给予5%葡萄糖静脉缓慢滴注,直至患者低血糖症状得到控制并好转,然后再进行慢性肾脏病治疗。结果:36例患者经过治疗,临床症状均有所好转,低血糖症状得以控制,有效提高了生活质量,降低了致死率。结论:慢性肾脏病并发低血糖的治疗首先需要对低血糖症状进行控制,在此基础上再进行慢性肾脏病的治疗,才能有效提高慢性肾脏病合并低血糖患者的生存质量和存活率。
Objective: To explore the clinical diagnosis and treatment of chronic kidney disease complicated with hypoglycemia. Methods: Thirty-six patients with chronic kidney disease complicated with hypoglycemia were selected as the research object, and their clinical data were retrospectively analyzed and summarized. Chronic kidney disease complicated with hypoglycemia treatment experience is the first control of hypoglycemia, coma patients immediately intravenous injection of 50% glucose 40 ~ 60mL, more serious continued to give 5% glucose intravenous infusion until the patient’s hypoglycemic symptoms are controlled and improved , Then chronic kidney disease treatment. Results: Thirty-six patients were treated, the clinical symptoms improved, the hypoglycemia symptoms were controlled, the quality of life was effectively improved, and the lethal rate was reduced. Conclusion: The treatment of chronic kidney disease complicated with hypoglycemia needs to control the symptoms of hypoglycemia first, then the treatment of chronic kidney disease can improve the quality of life and survival rate of patients with chronic kidney disease and hypoglycemia.