Khazipova L G, Akhmetova B Kh
Klin Med (Mosk). 1990 Jan;68(1):106-8.
To investigate the effect of low-dose versus high-dose insulin treatment of Kussmaul's coma, the authors treated 2 groups of relevant patients. Group I treated with low-dose insulin in combination with other therapeutic measures achieved a progressive decrease of glycemia within 8 hours. Complications were not registered. Group II on high-dose insulin scheme exhibited a drop in blood sugar resultant in hypoglycemia in 4, hypotonia in 2, brain edema in 1 patient. The absence of complications, availability and simplicity support the advantages of the low-dose regime which is now widely introduced into clinical practice.
为研究低剂量与高剂量胰岛素治疗糖尿病酮症酸中毒昏迷的效果,作者对两组相关患者进行了治疗。第一组采用低剂量胰岛素联合其他治疗措施,8小时内血糖逐渐下降,未出现并发症。第二组采用高剂量胰岛素方案,4例出现低血糖,2例出现肌张力减退,1例出现脑水肿。低剂量方案无并发症、实用性强且操作简单,这些优势支持其现已广泛应用于临床实践。