CAJ | 학술논문

目的：探讨糖尿病酮症酸中毒的临床特点，总结治疗经验，提高诊疗水平，降低死亡率。方法回顾性分析我院2008年1月～2013年12月收治的53例糖尿病酮症酸中毒患者的临床资料。本组53例均采用小剂量胰岛素静脉泵入及补液、补钾、抗感染等综合治疗。结果治愈及好转出院48例，未愈5例，其中死亡2例。结论DKA临床表现复杂多样，积极寻找病因，早发现、早治疗，预后良好；一旦确诊，积极补液改善循环，小剂量胰岛素，适当补钾及去除诱因等综合治疗是抢救成功的关键。
목적：탐토당뇨병동증산중독적림상특점，총결치료경험，제고진료수평，강저사망솔。방법회고성분석아원2008년1월～2013년12월수치적53례당뇨병동증산중독환자적림상자료。본조53례균채용소제량이도소정맥빙입급보액、보갑、항감염등종합치료。결과치유급호전출원48례，미유5례，기중사망2례。결론DKA림상표현복잡다양，적겁심조병인，조발현、조치료，예후량호；일단학진，적겁보액개선순배，소제량이도소，괄당보갑급거제유인등종합치료시창구성공적관건。
Objective To investigate the clinical characteristics of diabetic ketoacidosis, summarize the treatment experience,improve the level of diagnosis and treatment, and reduce mortality. Methods 53 cases of clinical data of patients with DKA was retrospective analyzed in our hospital from 2008,1 to 2013,12, 53 cases of patients were given small dose of insulin intravenous pumping and rehydration,potassium, resistance to infection and other comprehensive treatment. Results 48 cases were cured and improved,5 cases were not healed and 2cases of them were died. Conclusion Clinical manifestations of DKA is complex and varied, we should looking for causes actively,early discovery,early treatment,prognosis is good;Once we make a definite diagnosis,we should give patients rehydration positive to improve circulation,comprehensive treatment such as small dose of insulin, fill appropriately potassium and removal of incentives is the key to successful rescue.