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er tong tang niao bing tong zheng suan zhong du de zhen duan he zhi liao
Author(s): 
Pages: 457-459
Year: Issue:  5
Journal: Pediatric Emergency Medicine

Abstract: 糖尿病酮症酸中毒(DKA)是儿童糖尿病的急性并发症,发生率为每年0·5%0·8%,通常见于1型糖尿病患儿,但高达25%的病例为新诊断的糖尿病,大多为感染所诱发。据国外报道,DKA的病死率为2%5%,主要死因为延误诊治。目前糖尿病的发病率正逐年上升,因此DKA的诊断和治疗已引起高度关注。1诊断根据下列条件可诊断DKA:(1)高血糖,血糖>11 mmol/L(>200 mg/dl);(2)血pH<7·3或HCO-3<15 mmol/L;(3)酮血症和酮尿。根据酸中毒程度又将DKA分为以下三种:(1)轻度:pH<7·3,HCO-3<15 mmol/L;(2)中度:pH<7·2,HCO-3<10
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