57例儿童糖尿病酮症酸中毒的临床治疗分析
摘要
目的探讨儿童糖尿病酮症酸中毒的临床表现及有效治疗方法。方法采用回顾性研究法,对57例糖尿病酮症酸中毒患儿的临床症状、实验室检查及治疗方法等资料进行分析。结果患儿经及时诊断和治疗后,病情均得到有效控制。除1例放弃治疗签字出院外,其余病例均好转出院。结论及时正确诊断,合理应用补液盐、钾盐、胰岛素、碱性液等是治疗儿童糖尿病酮症酸中毒的关键。
引文
[1] AloisCI,Rizzolo D.Diabetic ketoacidosis:heralding type 1 diabetes in children[J].JAAPA,2017,30(7):20-23.
[2] Hirai H,Fukushima N,Hasegawa K,et al.Superior mesenteric artery syndrome complicated by diabetic ketoacidosis and graves' disease in Slowly Progressive Insulin Dependent Diabetes Mellitus(SPIDDM):a case report and a review of the literature[J].Intern Med,2016,55(15):2035-2042.
[3] 薛辛东.儿科学[M].北京:人民卫生出版社,2005:474-479.
[4] 赵太艳.儿童糖尿病临床分析及护理难点和对策[J].中国社区医师,2014(33):163,166.
[5] Gianchecchi E,Fierabracci A.On the pathogenesis of insulin-dependent diabetes mellitus:the role of microbiota[J].Immunol Res,2017,65(1):242-256.
[6] 曹闻铭.以酮症酸中毒起病的初发糖尿病临床特点分析[J].糖尿病新世界,2016(3):130-132.
[7] 张彦萍,潘家华.儿童糖尿病酮症酸中毒33例[J].安徽医学,2010,31(1):57-59.
[2] Hirai H,Fukushima N,Hasegawa K,et al.Superior mesenteric artery syndrome complicated by diabetic ketoacidosis and graves' disease in Slowly Progressive Insulin Dependent Diabetes Mellitus(SPIDDM):a case report and a review of the literature[J].Intern Med,2016,55(15):2035-2042.
[3] 薛辛东.儿科学[M].北京:人民卫生出版社,2005:474-479.
[4] 赵太艳.儿童糖尿病临床分析及护理难点和对策[J].中国社区医师,2014(33):163,166.
[5] Gianchecchi E,Fierabracci A.On the pathogenesis of insulin-dependent diabetes mellitus:the role of microbiota[J].Immunol Res,2017,65(1):242-256.
[6] 曹闻铭.以酮症酸中毒起病的初发糖尿病临床特点分析[J].糖尿病新世界,2016(3):130-132.
[7] 张彦萍,潘家华.儿童糖尿病酮症酸中毒33例[J].安徽医学,2010,31(1):57-59.