CAJ | 학술논문

目的：研究探索糖尿病昏迷发生规律以及诊断治疗相关因素，从而提高抢救成功率。方法对该院自2012年2月—2014年2月期间住院并接受治疗的64例糖尿病昏迷患者进行相应的回顾性研究。结果该研究的64例糖尿病昏迷患者中低血糖昏迷患者为26例、糖尿病酮症酸中毒昏迷18例、糖尿病非酮症性高渗昏迷7例，糖尿病合并脑出血昏迷5例、糖尿病合并脑梗塞昏迷8例，其中1型糖尿病患者18例，其余均为2型糖尿病。1型糖尿病引起的昏迷多是由于胰岛素使用不合理引发，2型糖尿病则是由于感染诱发昏迷，可通过补糖或应用小剂量胰岛素持续性静滴、补液以及对症治疗。结论糖尿病所诱发的各种昏迷均为其急性并发症，只要做到早发现、早诊断和早治疗才能够最终实现降低死亡率的目的。
목적：연구탐색당뇨병혼미발생규률이급진단치료상관인소，종이제고창구성공솔。방법대해원자2012년2월—2014년2월기간주원병접수치료적64례당뇨병혼미환자진행상응적회고성연구。결과해연구적64례당뇨병혼미환자중저혈당혼미환자위26례、당뇨병동증산중독혼미18례、당뇨병비동증성고삼혼미7례，당뇨병합병뇌출혈혼미5례、당뇨병합병뇌경새혼미8례，기중1형당뇨병환자18례，기여균위2형당뇨병。1형당뇨병인기적혼미다시유우이도소사용불합리인발，2형당뇨병칙시유우감염유발혼미，가통과보당혹응용소제량이도소지속성정적、보액이급대증치료。결론당뇨병소유발적각충혼미균위기급성병발증，지요주도조발현、조진단화조치료재능구최종실현강저사망솔적목적。
Objective to study the diabetic coma occurrence regularity and related factors, the diagnosis and treatment so as to im-prove the success rate of rescue. Methods in our hospital from February 2012-February 2014 during hospitalization and treatment of 64 patients with diabetic coma retrospective study accordingly. Results the study of 64 patients with diabetic coma of 26 pa-tients with hypoglycemic coma in 18 cases, diabetic ketoacidosis, coma, diabetes, non ketosis hypertonic coma, 7 cases of cerebral hemorrhage diabetic coma in 5 cases, diabetic coma 8 cases of cerebral infarction, including 18 patients with type 1 diabetes, the rest are type 2 diabetes. Type I diabetes caused by coma is caused by the inappropriate use of insulin, type 2 diabetes is due to infection induced coma, can be applied by carbohydrate supplement or small doses of insulin continuous static drops, rehydration and symptomatic treatment. Conclusion diabetes are induced by a variety of coma of their acute complications, as long as do early detection, early diagnosis and early treatment can achieve the purpose of reduce mortality.