糖尿病诊疗解析摘要.ppt

时间 治疗错误 结果 开始4h 不适当补钾 高血钾性心肌损害 过快纠正高血糖 脑水肿 盐溶液补充不足 低血压 胰岛素过多而液体不足 细胞外液转入细胞内使血压下降 6-12h以后 补钾不足 低钾性心肌损害 补糖不足 低血糖及酮症反复出现 治疗中可能出现的问题 临床治愈 最好的结局 济宁医学院附属医院内分泌科是济宁市重点学科，拥有医生15名，其中教授、主任医师4名 ，其中研究生导师3名，副教授、副主任医师3名，主治医师4名，医师4名。博士4名，硕士10名。本学科在胰岛B细胞功能评估与保护、糖尿病的胰岛素强化治疗、甲亢、甲状腺癌的131I治疗等方面形成了较强的专业。对肾上腺疾病、垂体疾病、性腺疾病、继发性高血压、痛风、肥胖症、血脂异常、骨质疏松症及身材矮小等疾病的诊治具有较高的诊治水平。 同时承担周边地区内分泌与代谢疾病的会诊工作及糖尿病教育的任务。按期举办各种学习班，得到学员的一致好评。 TEL：2903066,2903177（病房）? 2903137（门诊） 张梅 门诊：周二、四、五全天 济 宁 医 学 院 附 属 医 院  内 分 泌 科 谢谢 * * Some of the risk factors for type 2 diabetes are modifiable, such as obesity and physical inactivity; other risk factors, such as race/ethnicity and family history, are not. Patients who are at increased risk due to genetic factors should therefore take necessary steps to minimize their risk and avoid the complications of disease. Risk stratification can help identify individuals who may be at risk for developing type 2 diabetes, and should therefore initiate more aggressive therapy earlier. * Serious microvascular and macrovascular complications of type 2 diabetes have a devastating effect on quality of life and impose a heavy burden on healthcare systems. Diabetic retinopathy: present in 21% of people at the time type 2 diabetes is diagnosed,1 diabetic retinopathy is the leading cause of new blindness among adults aged 20–74 years.2 Diabetic nephropathy: present in 18% of people diagnosed with diabetes;3 diabetes is a leading cause of end-stage renal disease.4 Stroke: diabetes is associated with a 2- to 4-fold increase in cardiovascular mortality and stroke.5 Cardiovascular disease: 75% of individuals with type 2 diabetes die from cardiovascular causes.6 Diabetic neuropathy: present in 12% of people at diagnosis,1 diabetic neuropathy affects approximately 70% of people with diabetes7 and is a leading cause of non-traumatic lower extremity amputations.8 In the UKPDS, 50% of individuals with diabetes already had complications at diagnosis.9