Kroll Henry R, Maher Thomas R
Department of Anesthesiology, Henry Ford Hospital, Detroit, Michigan 48202-9888, USA.
Anesth Analg. 2007 Jun;104(6):1473-4, table of contents. doi: 10.1213/01.ane.0000264007.46873.0f.
Icodextrin, a peritoneal dialysate commonly used in the renal failure patient with diabetes, may lead to an overestimation of blood glucose levels as determined by bedside glucometers. This spurious hyperglycemia can lead to significant morbidity if unrecognized. We describe a case of severe hypoglycemia caused by an unappreciated overestimation of blood glucose in a diabetic patient with concomitant chronic renal failure requiring peritoneal dialysis with icodextrin.
艾考糊精是一种常用于糖尿病肾衰竭患者的腹膜透析液，可能会导致床边血糖仪测定的血糖水平被高估。如果未被识别，这种假性高血糖可能会导致严重的发病率。我们描述了一例糖尿病合并慢性肾衰竭患者因未意识到血糖被高估而导致严重低血糖的病例，该患者需要使用艾考糊精进行腹膜透析。
