
[内科] 糖尿病酮症酸中毒;糖尿病酮酸症;[内科] 糖尿病酮酸中毒
Objective To compare the short-term effects of continuous subcutaneous insulin infusion (CSII) and continuous venous insulin infusion in the treatment of diabetic ketoacidosis (DKA).
目的比較胰島素泵持續皮下胰島素輸注(CSII)法與傳統小劑量胰島素靜滴法治療糖尿病酮症酸中毒(DKA)的短期療效。
Objective To observe the effects of insulin pump therapy on type 1 diabetes mellitus children with diabetic keto or diabetic ketoacidosis(DK/DKA).
目的觀察胰島素泵持續皮下注射胰島素對兒童1型糖尿病并酮症或酮症酸中毒(DK/DKA)的療效。
Objective To explore the inducement, diagnosis, therapy and death causes of diabetic ketoacidosis(DKA).
目的探讨糖尿病酮症酸中毒(DKA)的發生、誘因、診療及死因臨床特點。
Yet diabetes in children is often diagnosed late, when the child has diabetic ketoacidosis (DKA), or it is misdiagnosed completely.
然而,兒童糖尿病的确診通常較晚,一般在兒童發生糖尿病性酮症(DKA)時發現,或者完全被誤診。
Diabetes; Diabetic ketoacidosis (DKA); Inducing factor.
糖尿病;酮症酸中毒;誘發因素。
Objective:To analyze the effect of continuous subcutaneous pumping aspartic acid insulin on patients with diabetic ketoacidosis and coronary artery disease(CAD).
目的:觀察門冬胰島素泵入法在糖尿病酮症伴冠心病患者治療中的應用價值。
Objective:To investigate the usefulness and effectiveness of insulin pump for the treatment of Diabetic ketoacidosis(DKA) .
目的:探讨胰島素泵在糖尿病酮症酸中毒(DKA)治療中的作用和療效。
Objective:To study the precipitating factor, treatment and Prevention of diabetic ketosis and diabetic ketoacidosis.
目的:研究糖尿病酮症及糖尿病酮症酸中毒的誘因、治療及預防方法。
Diabetic ketoacidosis is one of the severe acute complications. This article focuses on the diagnosis and treatment of diabetic ketoacidosis.
糖尿病酮症酸中毒是糖尿病較為嚴重的急性并發症之一。本文主要對其診斷和治療做簡要介紹。
Objective: To inquiry into the differential diagnostic indexes of newly diagnosed type 1 diabetic ketoacidosis (DKA) with stress hyperglycemia(SHG) in critical children patients.
目的:探讨新發兒童1型糖尿病酮症酸中毒與重症兒童應激性高血糖的鑒别診斷指标。
Objective:To study the related factors causing hepatic damage in patients with diabetic ketoacidosis (DKA).
目的:探讨糖尿病酮症酸中毒(DKA)患者肝損害的相關因素。
Is a Priming Dose of Insulin Necessary in a Low-Dose Insulin Protocol for the Treatment of Diabetic Ketoacidosis?
糖尿病酮症酸中毒的小劑量胰島素療法中起始劑量胰島素是否必要?
Objective:To approach the method of diabetic ketoacidosis and hyperosmolar hyperglycemic status(DKA- HHS) treatment.
目的:探讨糖尿病酮症酸中毒并高血糖高滲狀态的救治方法。
BYETTA is not for people with type 1 diabetes or people with diabetic ketoacidosis.
百泌達不能用于1型糖尿病或糖尿病酮症酸中毒的治療。
Objective Of diabetic ketoacidosis (DKA) the occurrence of incentives, clinic characteristics.
酮症酸中毒(DKA)的發生、誘因、診療特點。
COMA:A state of unconsciousness. In diabetes, it may result from a variety of causes including severe hypoglycemia or diabetic ketoacidosis.
昏迷:意識不清的一種狀态。可以有很多原因如嚴重的低血糖或糖尿病酮症酸中毒導緻糖尿病患者昏迷。
Conclusion The clinical pathway developed in urban hospital for patients with type 2 diabetic ketoacidosis may be a cost-effectiveness model for disease management.
結論2型糖尿病酮症酸中毒專科診療路徑作為一個疾病管理模式具有一定的成本效益。
AIM: To investigate cerebrospinal fluid (CSF) acid base disorders and its compensatory mechanism in patients with diabetic ketoacidosis.
目的:探讨糖尿病酮症酸中毒患者腦脊液(CSF)酸堿變化及其代償機制。
Without insulin, a child with IDDM wastes away and eventually ***s from diabetic ketoacidosis (DKA).
在沒有胰島素的情況下,IDDM患兒迅速消瘦并最終死于糖尿病酮症酸中毒(DKA)。
Not for treating type 1 diabetes or diabetic ketoacidosis.
不適用于治療1型糖尿病或糖尿病酮症酸中毒。
To research the clinical curative effect of continuous subcutaneous infusion with insulin pump on diabetic ketoacidosis(DK).
探讨胰島素泵治療糖尿病酮症(DK)的臨床療效。
Results:33 patients have been cured with diabetic ketoacidosis, the caring rate is over 91%.
結果:36例糖尿病酮症酸中毒患者治愈33例,治愈率達91 %以上。
The blood β-HBA and urine ketone were monitored during the management of 18 patients with diabetic ketosis or ketoacidosis.
在18例糖尿病酮症或酮症酸中毒患者的治療過程中,同時監測血酮和尿酮。
糖尿病酮症酸中毒(Diabetic Ketoacidosis,DKA)是一種嚴重的糖尿病急性并發症,常見于1型糖尿病患者,但也可能出現在2型糖尿病患者中。其核心病理機制為胰島素絕對或相對不足,導緻脂肪分解加速生成大量酮體,引發代謝性酸中毒。
發病機制與誘因
當體内胰島素水平不足時(例如未規範用藥或感染應激),細胞無法利用葡萄糖供能,轉而分解脂肪産生酮體(β-羟基丁酸、乙酰乙酸等)。酮體在血液中過量堆積會導緻pH值下降,形成代謝性酸中毒。常見誘因包括急性感染(占30-50%)、胰島素治療中斷、心肌梗死等。
典型臨床表現
該病症呈現三聯征:
診斷與治療
确診需結合血糖、血氣分析及酮體檢測。美國糖尿病協會建議采用以下治療原則:
預防措施
加強糖尿病患者教育,建立定期血糖監測制度,在疾病或應激狀态下實施"生病日管理規則",及時調整胰島素劑量。研究顯示規範管理可使DKA發生率降低76%。
糖尿病酮症酸中毒(Diabetic Ketoacidosis,簡稱DKA)是糖尿病的一種嚴重急性并發症,常見于1型糖尿病患者,但也可發生于2型糖尿病患者。以下為詳細解釋:
基本定義
當糖尿病患者體内胰島素嚴重缺乏時,碳水化合物、脂肪和蛋白質代謝紊亂,導緻血液中酮體(酸性代謝産物)過度積累,引發代謝性酸中毒。其英文縮寫為DKA(Diabetic Ketoacidosis)。
發病機制
常見誘因
包括感染、胰島素治療中斷、創傷、手術應激等。
臨床意義
需緊急治療,表現為多尿、口渴、呼吸深快(Kussmaul呼吸)、呼氣有爛蘋果味(丙酮氣味)等,嚴重時可緻昏迷或死亡。
該術語的中文譯名在不同文獻中略有差異,如“糖尿病酮症酸中毒”“糖尿病性酮症酸中毒”等,但核心含義一緻。
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