Lowie Bobbi-Jo, Bond Michael C
Department of Emergency Medicine, University of Maryland Medical Center, 110 South Paca Street, Sixth Floor, Suite 200, Baltimore, MD 21201, USA.
Department of Emergency Medicine, University of Maryland School of Medicine; University of Maryland Medical Center, 110 South Paca Street, Sixth Floor, Suite 200, Baltimore, MD 21201, USA.
Emerg Med Clin North Am. 2023 Nov;41(4):677-686. doi: 10.1016/j.emc.2023.06.002. Epub 2023 Jul 24.
This article reviews the most current literature on diabetic ketoacidosis, including how to make the diagnosis and management. It discusses euglycemic diabetic ketoacidosis and the risk factors for this rare but dangerous disease process. Pertinent pearls and pitfalls encountered by the emergency physician when managing these patients are included. Because these patients often stay in the emergency department for prolonged periods, recommendations on transitioning to subcutaneous insulin are included, along with dosing recommendations. Finally, the article reviews how to disposition patients with diabetic ketoacidosis and examines important factors that lead to a successful discharge home.
本文回顾了关于糖尿病酮症酸中毒的最新文献，包括如何进行诊断和管理。它讨论了正常血糖性糖尿病酮症酸中毒以及这种罕见但危险的疾病过程的危险因素。其中还包括急诊医生在处理这些患者时遇到的相关要点和陷阱。由于这些患者通常会在急诊科停留较长时间，因此还包括了关于过渡到皮下注射胰岛素的建议以及剂量建议。最后，本文回顾了如何对糖尿病酮症酸中毒患者进行处置，并探讨了导致患者成功出院回家的重要因素。
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