Mendez Yamely, Surani Salim, Varon Joseph
Yamely Mendez, Dorrington Medical Associates, Houston, TX 77030, United States.
World J Diabetes. 2017 Feb 15;8(2):40-44. doi: 10.4239/wjd.v8.i2.40.
Diabetic ketoacidosis (DKA) is defined as an acute metabolic disorder, which is characterized by an increased presence of circulating ketones, and the development of ketoacidosis in the presence of hyperglycemia. This syndrome occurs as a result of insulin deficiency. Patients can be dramatically ill, however, with aggressive treatment, most patients recover rapidly. Despite being a low-risk condition, the development of acidosis, is one of the admission criteria to the intensive care unit (ICU) for these patients, in order to provide close monitoring, and recognize complications that could result from the use of aggressive therapy, such as continuous infusions if insulin. In some institutions, DKA is treated in the emergency department and general medical/surgical wards to avoid ICU overcrowding.
糖尿病酮症酸中毒（DKA）被定义为一种急性代谢紊乱，其特征是循环酮体增多，且在高血糖情况下发生酮症酸中毒。这种综合征是胰岛素缺乏的结果。患者病情可能极为严重，然而，通过积极治疗，大多数患者能迅速康复。尽管DKA风险较低，但酸中毒的发生是这些患者入住重症监护病房（ICU）的入院标准之一，以便进行密切监测，并识别因积极治疗（如持续输注胰岛素）可能导致的并发症。在一些机构中，DKA在急诊科和普通内科/外科病房进行治疗，以避免ICU过度拥挤。
