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持续静脉滴注小剂量胰岛素(RI)治疗糖尿病酮症酸中毒(DKA)已被公认。可使血糖稳定下降,疗效可靠,副作用少,病死率低,将43例DKA总结如下。临床资料一、病例选择:糖尿病43例,血糖>250mg/dl,尿糖阳性,尿酮体阳性,C0_2 CP<50VOl%,伴不同程度脱水,低血钾为观察对象。二,病例资料:43例中男23例,女20例,年龄20～65岁,病程半年～16年,其中糖尿病Ⅰ型32例,占74%:Ⅱ型11例,占26%,昏迷2例,余均神志清楚。全部病例均有不同程度的脱水和明显的高
Continuous intravenous infusion of small doses of insulin (RI) in the treatment of diabetic ketoacidosis (DKA) has been recognized. Stable blood sugar can be decreased, reliable, less side effects, mortality is low, the 43 cases of DKA summarized as follows. Clinical data A case selection: 43 cases of diabetes, blood glucose> 250mg / dl, urine positive, urine ketone body positive, C0_2CP <50VOl%, with varying degrees of dehydration, hypokalemia for the observed object. Second, the case data: 43 cases of 23 males and 20 females, aged 20 to 65 years, duration of six months to 16 years, of which 32 cases of type I diabetes, accounting for 74%: 11 cases of type II, accounting for 26%, coma 2 For example, Yu Jun conscious. All cases had varying degrees of dehydration and significantly higher