hypoglycemic coma on emergency diagnosis and treatment of 43 cases（低血糖昏迷的紧急诊断和治疗43例）.docVIP

Hypoglycemic coma on emergency diagnosis and treatment of 43 cases Paper to write net: [Abstract] Objective analysis of emergency department patients with hypoglycemic coma causes of effective clinical treatment and to observe its efficacy and application. Methods A retrospective analysis of 43 cases of emergency patients with hypoglycemic coma general information, analysis of all patients with low blood sugar induced coma reasons, after admission ECG, keep the airway open, after diagnosis, 50% glucose 40 ~ 80ml intravenous injection, if necessary may be given 20% mannitol and intravenous hydrocortisone, and intravenous infusion of 5% glucose or oral glucose sugar monitoring were observed in all patients the clinical treatment results after active rescue and treatment, 36 cases (83.72% ) coma 10 ~ 60min conscious, 3d after cured, 7 cases (16.28%) to correct blood sugar is still in a coma after giving mannitol and after intravenous infusion of hydrocortisone improved, 1w after discharged, in which severe coma patients in 4 cases (57.14%) had significant memory loss and slow performance. Conclusion emergency hypoglycemic coma patients should promptly analyze the causes of the disease, according to incentive the right remedy, the rational use of antidiabetic drugs, diabetes and the elderly should be to strengthen the prevention and treatment of low blood sugar and other aspects of health education, prevention of hypoglycemia. [Keywords:] diabetes low blood sugar emergency Adults with low blood sugar is lower than the fasting glucose level 4.0mmol / l of the phenomenon, this phenomenon can only take place in some kind of pills or insulin injections during the period there is a category of congenital hyperinsulinemic hypoglycemia, caused by the disease causes amino acid metabolism is a key enzyme, glutamate dehydrogenase gene mutation occurred [1]. In most cases, dependent on brain metabolism of plasma glucose as its energy, blood-brain barrier to protect bra