Solá E, Garzón S, García-Torres S, Cubells P, Morillas C, Hernández-Mijares A
Endocrinology Department, Doctor Peset University Hospital, Avda Gaspar Aguilar 90, 46017, Valencia, Spain.
Acta Diabetol. 2006 Dec;43(4):127-30. doi: 10.1007/s00592-006-0227-1.
The aim of our study was to evaluate clinical management of diabetic ketoacidosis (DKA) in a teaching hospital. We followed all the patients hospitalised for DKA over six years (1995-2000), and we recorded clinical data, laboratory finding at entrance and clinical management. We compared the data to the standards set in guidelines. Our study showed an important delay of initiation of intravenous fluid (70% of cases), an under-replacement with intravenous fluid (69% of cases) and with potassium therapy (80% of cases), and an excessive use of alkali therapy. In conclusion, suboptimal management of DKA occurred in a large percentage of patients.
我们研究的目的是评估一家教学医院中糖尿病酮症酸中毒（DKA）的临床管理情况。我们对六年间（1995 - 2000年）因DKA住院的所有患者进行了跟踪，记录了临床数据、入院时的实验室检查结果以及临床管理情况。我们将这些数据与指南中设定的标准进行了比较。我们的研究显示，静脉补液开始时间存在显著延迟（70%的病例），静脉补液量不足（69%的病例）以及钾治疗不足（80%的病例），并且碱疗法使用过度。总之，很大一部分患者的DKA管理未达最佳标准。
