糖尿病与低血糖的应急处理
Emergency management of diabetes and hypoglycaemia.
作者信息
Brackenridge A, Wallbank H, Lawrenson R A, Russell-Jones D
机构信息
Royal Surrey County Hospital, Guildford, Surrey, UK.
出版信息
Emerg Med J. 2006 Mar;23(3):183-5. doi: 10.1136/emj.2005.026252.
OBJECTIVE
Hypoglycaemia is the commonest diabetic emergency and is associated with considerable morbidity and mortality. This study looked at the use of the emergency services by people with diabetes, with particular reference to hypoglycaemia.
METHOD
Data were collected on all attendances related to diabetes at accident and emergency departments at two district general hospitals in Surrey, UK, over a one year period.
RESULTS
Hypoglycaemia was the commonest reason for attendance at accident and emergency. The management of hypoglycaemia was variable, the most frequent method of treatment being intramuscular glucagon administered by the ambulance service. Ninety per cent of patients with hypoglycaemia were either discharged or self-discharged from the accident and emergency department, and half of these patients had no follow up arranged.
CONCLUSIONS
Hypoglycaemia is the commonest diabetic emergency and current management is suboptimal. Standardised protocols and better education of healthcare professionals and patients are required.
目的
低血糖是最常见的糖尿病急症，与相当高的发病率和死亡率相关。本研究观察了糖尿病患者对急救服务的使用情况，尤其关注低血糖。
方法
收集了英国萨里郡两家地区综合医院急诊科在一年时间内所有与糖尿病相关就诊情况的数据。
结果
低血糖是前往急诊科就诊的最常见原因。低血糖的处理方式不一，最常用的治疗方法是由救护服务人员进行肌肉注射胰高血糖素。90%的低血糖患者从急诊科出院或自行离开，其中一半患者未安排后续随访。
结论
低血糖是最常见的糖尿病急症，目前的处理并不理想。需要标准化方案以及对医护人员和患者进行更好的教育。
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