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低血糖发作后在院前环境中接受治疗的糖尿病患者的结局,以及对治疗和出院方案的探讨:文献综述

Outcome of diabetic patients treated in the prehospital arena after a hypoglycaemic episode, and an exploration of treat and release protocols: a review of the literature.

作者信息

Roberts K, Smith A

机构信息

Pre-hospital Emergency Research Unit (PERU), Lansdowne Hospital, Cardiff, UK.

出版信息

Emerg Med J. 2003 May;20(3):274-6. doi: 10.1136/emj.20.3.274.

Abstract

OBJECTIVES

This review examines current treat and release protocols adopted by the ambulance service, and factors that may predispose patients to hypoglycaemia.

METHODS

Online database searches and hand searches of journals led to 241 articles being found, of which eight were used for this article.

RESULTS

Out of hospital treatment of hypoglycaemia is safe for most patients, but further studies are needed if positive improvements are to be made.

DISCUSSION

There is potential for further research in this area and clarification is needed in the treat and release debate. A definitive set of protocols would be beneficial to the ambulance service.

摘要

目的

本综述探讨了救护服务部门目前采用的治疗后放行方案,以及可能使患者易患低血糖的因素。

方法

通过在线数据库检索和期刊手工检索,共找到241篇文章,其中8篇用于本文。

结果

对大多数患者而言,院外低血糖治疗是安全的,但要取得积极进展还需要进一步研究。

讨论

该领域有进一步研究的潜力,在治疗后放行的争论中需要加以澄清。一套明确的方案将对救护服务部门有益。

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本文引用的文献

1
Out-of-hospital treatment of hypoglycemia: refusal of transport and patient outcome.
Acad Emerg Med. 1998 Nov;5(11):1080-5. doi: 10.1111/j.1553-2712.1998.tb02666.x.
2
Patients who initially refuse prehospital evaluation and/or therapy.
Am J Emerg Med. 1990 Nov;8(6):509-11. doi: 10.1016/0735-6757(90)90152-p.

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