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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

  • 2026-10-30 10:55:31
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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0.083377s