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一名老年患者术后出现急性极度低碳酸血症和糖尿病昏迷:病例报告。

Acute extreme hypocapnia and diabetic coma in an elderly patient after surgery: A case report.

作者信息

Strecker Thomas, Siegle Michaela, Bremer Frank

机构信息

Center of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.

Department of Anesthesiology, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.

出版信息

SAGE Open Med Case Rep. 2024 Sep 21;12:2050313X241282761. doi: 10.1177/2050313X241282761. eCollection 2024.

Abstract

Hyperglycemia and diabetic ketoacidosis are serious and life-threatening emergencies in diabetes patients. Early recognition of the symptoms of these disorders and their management are essential. Therapy is adequate rehydration, insulin treatment, electrolyte replacement, and handling of the underlying causative disease. Herein, we present an 83-year-old male with an extremely altered blood gas analysis after a surgical procedure of his left hand due to a phlegmon and describe the successful treatment through intensive care.

摘要

高血糖症和糖尿病酮症酸中毒是糖尿病患者严重的、危及生命的紧急情况。早期识别这些病症的症状并进行处理至关重要。治疗方法包括充分补液、胰岛素治疗、补充电解质以及处理潜在的致病疾病。在此,我们报告一名83岁男性,因左手蜂窝织炎接受手术后出现极度异常的血气分析,并描述通过重症监护成功治疗的过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221b/11456190/36f128c74303/10.1177_2050313X241282761-fig1.jpg

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