55 cases of DKA state of consciousness on admission of patients with the relationship between mean plasma osmolality.docVIP

 PAGE \* MERGEFORMAT 6 55 cases of DKA state of consciousness on admission of patients with the relationship between mean plasma osmolality [Abstract] Objective To investigate diabetic ketoacidosis (DKA clinical differential diagnosis of mental state and the relationship between the average plasma osmolality. Methods 55 patients with DKA analyze clinical data and with literature. The results of the patients admitted to hospital Classification of consciousness, the patient’s condition worse, the higher the average plasma osmolality. Conclusion DKA patient’s degree of mental retardation and plasma osmotic pressure was almost linear relationship between the average, the majority of patients with impairment of consciousness, the plasma osmotic pressure were higher than 345mmol / L, while less than 335mmol / L, if the patients had altered consciousness, we should consider whether the other causes of neurological symptoms. [Keywords:] diabetes mellitus, ketoacidosis, plasma osmolality Diabetic ketoacidosis (DKA more mechanisms for the cause, but the DKA patients with altered mental status of the mechanism is not fully clear, according to current clinical application and impairment of consciousness, is most closely the level of plasma osmolality. But the specific diagnosis more difficult to grasp. on our hospital emergency department, neurology and endocrinology department from January 2002 -2008 DKA were treated on June 55 patients with literature as follows. 1 Clinical data 1.1 General Information 27 males and 28 females, aged 18 to 91 years old. Past history of diabetes, 49 patients had irregular oral hypoglycemic agents or insulin injections therapy, the other 6 cases, 2 cases diagnosed after admission to further diabetic hyperosmolar coma, 3 cases were diagnosed as cerebral infarction or cerebral hemorrhage complications after stress, and 1 finally diagnosed as necrotizing pancreatitis and rapid death. 1.2 Summary of clinical features found in m