Department of Internal Medicine, Faculty ofMedicine, Al-Arab Medical University, Benghazi, Libyan Arab Jamahiriya.
East Mediterr Health J. 2010 Mar;16(3):292-9.
This study describes the profile of 100 cases of diabetic ketoacidosis (DKA) at a teaching hospital in 1 Benghazi, Libyan Arab Jamahiriya. DKA was more frequent in young women with type 1 diabetes and mostly due to preventable causes, e.g., disrupted insulin treatment and/or infection. DKA also occurred in type 2 diabetics, with a higher mortality rate, as they were older patients with co-morbidity. Polyurea, fatigue, abdominal pain and vomiting were the most common clinical features, while coma was rarer. A high number of cases were first presentations of type 1 diabetes; hence this diagnosis should be considered in all patients with acute abdomen or decreased level of consciousness. The reasons for high mortality rate in this study (10%) were multifactorial.
本研究描述了在利比亚阿拉伯民众国班加西的一家教学医院中 100 例糖尿病酮症酸中毒（DKA）患者的特征。DKA 在年轻的 1 型糖尿病女性中更为常见，主要是由于可预防的原因，例如胰岛素治疗中断和/或感染。DKA 也发生在 2 型糖尿病患者中，死亡率更高，因为他们是合并症的老年患者。多尿、疲劳、腹痛和呕吐是最常见的临床特征，而昏迷则较少见。大量病例为 1 型糖尿病的初次发作；因此，对于所有出现急性腹痛或意识水平降低的患者，都应考虑这一诊断。本研究中高死亡率（10%）的原因是多方面的。
