胰岛素与碳酸氢钠治疗儿童糖尿病酮症酸中毒
Insulin and sodium bicarbonate treatment in diabetic ketoacidosis in children.
作者信息
Reddy C M, Orti E
出版信息
J Natl Med Assoc. 1977 May;69(5):355-7.
Abstract
Nineteen patients, nine males and ten females had 24 episodes of diabetic ketoacidosis. Infection was the precipitating factor in the development of ketoacidosis. Recovery of ketoacidosis occurred with 0.7 units of crystalline insulin per kg of body weight. The insulin requirement is less than the generally recommended dose. Hypoglycemia, hypokalemia, and alkalosis were not developed in our children. Ketoacidosis was adequately corrected by 2.5 mEq of sodium bicarbonate per kg of body weight.
摘要
19名患者（9名男性和10名女性）发生了24次糖尿病酮症酸中毒。感染是酮症酸中毒发生的诱发因素。酮症酸中毒通过每公斤体重0.7单位的结晶胰岛素得以恢复。胰岛素需求量低于一般推荐剂量。我们的患儿未发生低血糖、低钾血症和碱中毒。每公斤体重2.5毫当量的碳酸氢钠可充分纠正酮症酸中毒。
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