Clinical analysis of 20 cases of diabetic ketoacidosis.docVIP

 PAGE \* MERGEFORMAT 4 Clinical analysis of 20 cases of diabetic ketoacidosis [Keywords:] Clinical analysis of diabetic ketoacidosis Diabetic ketoacidosis (DKA) is a common and serious acute diabetes complications, in our hospital in October 2006 -2009 in June where a total of 20 patients with diabetic ketoacidosis, are summarized below. 1 Materials and Methods 1.1 General Information of this group 20 patients were 12 males and 8 females; aged from 12 to 74 years old. Including 1 case of type 1 diabetes, type 2 diabetes in 19 cases, 16 patients had diabetes mellitus, 4 patients with DKA as the first symptoms. ( 1) incentive: 13 cases of infections, interrupt or stop taking insulin hypoglycemic drugs in 4 cases, improper diet or control in 2 cases, no specific incentives in 1. (2) Clinical manifestations: 15 cases of clear consciousness, drowsiness, confusion 2 cases, coma in 3 cases, 15 cases more than three a few symptoms, nausea and vomiting in 10 cases, 4 cases of abdominal pain, diarrhea in 3 cases, 2 cases of hypotension. (3) laboratory tests: blood glucose 15 ~ 36mmol / L, urine ketone (++~++++), CO2CP 8.3 ~ 19mmol / L, potassium 2.4 ~ 6.5 mmol / L. 1.2 Treatment (1) the establishment of intravenous access: First Road fluid and other drugs to enter the saline-based. Supplementary volume: General according to the patients body weight (kg) 10% of the estimates, the average fluid volume 3000 ~ 6000ml / d, speed: according to the principle of slow down after the former enter the total water loss 4h 1 / 3 to 1 / 4, so as to correct the dehydration and hypertonic extracellular. for the mind clear, those with no nausea and vomiting to encourage oral rehydration; coma, and placing fill tube of warm water. (2) The second way of low dose insulin infusion, the dose at 0.1U / (kg h), the first 4h monitoring of blood glucose 1 hour, the hourly rate of decline in blood glucose lt; 6.1 mmol / L, if blood sugar dropped too quickly, easily induced cerebral