Eedy D J, McNeill A J, Andrews W J
Ulster Med J. 1988 Apr;57(1):66-9.
The outcome of therapy of poorly controlled insulin-requiring cases of diabetes mellitus needing admission to a district general hospital from 1981 to 1986 was examined. There were 156 admissions to the hospital, 17 of these classified as severe diabetic ketoacidosis (serum standard bicarbonate less than 14 mmol/l). A 'low dose' insulin regimen was used in each case of severe ketoacidosis. No patient who was admitted died within a six-month period. These figures emphasise the value of a policy of direct hospital admission for poorly controlled diabetics and suggest that early diagnosis in general practice is vital to allow the application of relatively simple and standard hospital treatment.
对1981年至1986年期间需要入住地区综合医院的胰岛素控制不佳的糖尿病患者的治疗结果进行了检查。共有156例患者入院，其中17例被归类为严重糖尿病酮症酸中毒（血清标准碳酸氢盐低于14 mmol/l）。每例严重酮症酸中毒患者均采用“低剂量”胰岛素治疗方案。入院的患者在六个月内均无死亡。这些数据强调了直接收治血糖控制不佳的糖尿病患者这一政策的价值，并表明在全科医疗中进行早期诊断对于采用相对简单且标准化的住院治疗至关重要。
