MacRury S M, Small M, MacCuish A C
Diabetic Unit, Glasgow Royal Infirmary, UK.
Diabetes Res. 1987 Jul;5(3):153-5.
We report a case of a previously stable Type 1 insulin-dependent diabetic who developed diabetic ketoacidosis with marked hyperkalaemia after starting continuous subcutaneous insulin infusion for neuropathy. On two occasions during his hospital admissions he had a rapid onset of hyperkalaemia after short interruptions to this intravenous insulin infusion. Hyperkalaemia can occur rapidly in patients who are treated with short acting insulin only.
我们报告一例既往病情稳定的1型胰岛素依赖型糖尿病患者,在开始持续皮下胰岛素输注治疗神经病变后发生糖尿病酮症酸中毒并伴有显著高钾血症。在其住院期间,有两次在静脉胰岛素输注短暂中断后迅速出现高钾血症。仅接受短效胰岛素治疗的患者可能迅速发生高钾血症。