摘要
目的:探讨糖尿病酮症酸中毒并高血糖高渗状态的救治方法。方法:分别采用静脉输注生理盐水、低渗盐水、5%葡萄糖、低渗葡萄糖盐水及胃肠道补水进行补液;胰岛素的使用采取胰岛素小剂量持续静滴或胰岛素泵持续皮下注射的方法。结果:低渗糖盐水可起到维持血压与降低渗透压的双重效果;胰岛素泵持续皮下注射的方法对血糖的控制性差。结论:低渗糖盐水临床应用安全,胃肠道补水安全有效;胰岛素泵持续皮下注射的方法不适合糖尿病酮症酸中毒并高血糖高渗状态的救治。
Objective： To approach the method of diabetic ketoacidosis and hyperosmolar hyperglycemic status （DKA - HHS） treatment, Methods. Fluid replacement by intravenous infusion of normal saline or hypotension saline or 5% glucose or hypotension glucose saline respectively, and fluid infusion through gastrointestinal tract（FITGIT） were also employed. Low＇dose insulin was administrated by continuous venous insulin infusion or continuous subcutaneous insulin infusion （CSII） through insulin pump. Results： Hypotension glucose saline can maintain blood pressure and degrade plasma osmotic pressure. Continuous subcutaneous insulin infusion through insulin pump cannot control blood glucose in expected value. Conclusion： Hypotension glucose saline by venous infusion and FITGIT were safe and effective in clinical use. CSII is not a good method in DKA - HHS treatment.
出处
《中国医药导刊》
2008年第2期195-197,共3页
Chinese Journal of Medicinal Guide
关键词
糖尿病酮症酸中毒并高血糖高渗状态
低渗糖盐水
胃肠道补水
diabetic ketoacidosis and hyperosmolar hyperglycemic status
hypotension glucose saline
fluid infusionthrough gastrointestinal tract
