严重酮症酸中毒作为五十岁以后糖尿病的首发表现。
Severe ketoacidosis as the first manifestation of diabetes mellitus after age fifty.
作者信息
Peter S A
出版信息
J Natl Med Assoc. 1986 Feb;78(2):148-50.
Two women over the age of 50 years presented with ketoacidosis as the first manifestation of diabetes mellitus. The first patient failed to respond to a regimen of hourly intramuscular injections of regular insulin. She only improved when a continuous intravenous infusion of regular insulin was utilized. The second patient was treated with a continuous infusion of insulin for a prolonged period. Her course was uneventful. It is recommended that a regimen of continuous infusion of regular insulin be the treatment of choice in the management of older patients presenting with ketoacidosis at the time of diagnosis of diabetes mellitus.
两名50岁以上的女性以酮症酸中毒作为糖尿病的首发表现。第一名患者对每小时肌肉注射正规胰岛素的治疗方案无反应。当使用正规胰岛素持续静脉输注时，她才有所好转。第二名患者接受了长时间的胰岛素持续输注治疗。她的病程平稳。建议对于在糖尿病诊断时出现酮症酸中毒的老年患者，正规胰岛素持续输注方案应作为首选治疗方法。
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