急诊中糖尿病酮症酸中毒的处理方法。
An Approach to Diabetic Ketoacidosis in an Emergency Setting.
机构信息
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli, Roma, Italy.
出版信息
Rev Recent Clin Trials. 2020;15(4):278-288. doi: 10.2174/1574887115666200709172402.
BACKGROUND
Diabetic Ketoacidosis (DKA) is one of the most commonly encountered diabetic complication emergencies. It typically affects people with type 1 diabetes at the onset of the disease. It can also affect people with type 2 diabetes, although this is uncommon.
METHODS
Research and online content related to diabetes online activity is reviewed. DKA is caused by a relative or absolute deficiency of insulin and elevated levels of counter-regulatory hormones.
RESULTS
Goals of therapy are to correct dehydration, acidosis, and to reverse ketosis, gradually restoring blood glucose concentration to near normal.
CONCLUSION
It is essential to monitor potential complications of DKA and, if necessary, to treat them and any precipitating events.
背景
糖尿病酮症酸中毒（DKA）是最常见的糖尿病并发症急症之一。它通常发生在 1 型糖尿病患者疾病初发时。2 型糖尿病患者也可能发生，但较为少见。
方法
研究并在线查阅了与糖尿病相关的在线活动内容。DKA 是由相对或绝对胰岛素缺乏以及拮抗激素水平升高引起的。
结果
治疗目标是纠正脱水、酸中毒，并逆转酮症，逐渐将血糖浓度恢复到接近正常。
结论
必须监测 DKA 的潜在并发症，并在必要时进行治疗以及处理任何诱发事件。
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