CAJ | 학술논문

目的：分析观察快速血糖检测在低血糖症临床急救中的意义和价值。方法：回顾性分析2010年3月—2013年4月我院急诊科收治的125例低血糖症患者的临床资料和病历，其中89例患者在急救现场经过快速血糖检测被确诊为低血糖症，36例因为没有采取及时的血糖检测而延迟确诊，综合病历资料分析采取快速血糖检测对低血糖症临床急救的影响作用。结果：125例低血糖症患者确诊后经口服或者静脉注射治疗后，122例患者恢复正常，3例患者因为诊断延迟而病情加剧，遗留痴呆症状。结论：在低血糖症临床急救中及时进行快速血糖检测对于减少诊断时间，避免漏诊、误诊情况的发生，减少并发症，降低死亡率具有重要的意义和价值。
목적：분석관찰쾌속혈당검측재저혈당증림상급구중적의의화개치。방법：회고성분석2010년3월—2013년4월아원급진과수치적125례저혈당증환자적림상자료화병력，기중89례환자재급구현장경과쾌속혈당검측피학진위저혈당증，36례인위몰유채취급시적혈당검측이연지학진，종합병력자료분석채취쾌속혈당검측대저혈당증림상급구적영향작용。결과：125례저혈당증환자학진후경구복혹자정맥주사치료후，122례환자회복정상，3례환자인위진단연지이병정가극，유류치태증상。결론：재저혈당증림상급구중급시진행쾌속혈당검측대우감소진단시간，피면루진、오진정황적발생，감소병발증，강저사망솔구유중요적의의화개치。
objective:To analyze and observe the significance and value of fast blood glucose detection in the first aid for hypoglycemia.Methods:The clinical information and records of 125 patients with hypoglycemia fromMarch 2010 to April 2013 were retrospectively analyzed,including 89 patients at the scene of the first aid after fast blood glucose was diagnosed with hypoglycemia,36 cases were diagnosed later without blood glucose detection in time.The analysis of medical records focused on the influence of the fast blood glucose detection on the clinical first aid of hypoglycemia.Results:125 patients with hypoglycemia were diagnosed by oral or intravenous treatment,122 patients returned to the normal,3 cases of patients got severe illness because of diagnosis delay with dementia. Conclusion: In the clinical first aid of hypoglycemia,timely fast blood glucose detection can reduce the diagnosis time,avoid the happening of the missed diagnosis and misdiagnosis and reduce the complications and mortality,which has the important significance and value.