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糖尿病酮症酸中毒急救PPT,病例分析,临床实践课件

  • 2026-06-13 03:52:11
糖尿病酮症酸中毒急救PPT,病例分析,临床实践课件

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患者，男性，25岁，1型糖尿病病史5年，因"恶心、呕吐2天，意识模糊1小时"入院。

查体：T37.8℃，P110次/分，R28次/分，BP90/60mmHg，呼吸深快，有烂苹果味。

实验室检查：血糖28.6mmol/L，血酮4.5mmol/L，pH7.25，HCO3-12mmol/L。

诊断：糖尿病酮症酸中毒（中度）。

治疗：快速补液，小剂量胰岛素持续静脉输注，补钾，抗感染。

经治疗后，患者血糖、血酮恢复正常，酸中毒纠正，痊愈出院。

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  1. CONNECT:[ UseTime:0.001301s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001377s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.016670s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000623s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001465s ]
  6. SELECT * FROM `set` [ RunTime:0.000560s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001347s ]
  8. SELECT * FROM `article` WHERE `id` = 514465 LIMIT 1 [ RunTime:0.000793s ]
  9. UPDATE `article` SET `lasttime` = 1781541182 WHERE `id` = 514465 [ RunTime:0.033848s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.004955s ]
  11. SELECT * FROM `article` WHERE `id` < 514465 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.002136s ]
  12. SELECT * FROM `article` WHERE `id` > 514465 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.002766s ]
  13. SELECT * FROM `article` WHERE `id` < 514465 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.007248s ]
  14. SELECT * FROM `article` WHERE `id` < 514465 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.011150s ]
  15. SELECT * FROM `article` WHERE `id` < 514465 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.002559s ]
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