Singer P, Rahn A, Schliack V
Acta Diabetol Lat. 1977 May-Aug;14(3-4):156-63. doi: 10.1007/BF02581403.
A brief review of some therapy results in 763 episodes of diabetic coma from 1960 to 1973 reveals a significant decrease in lethality after institution of an intensive care unit. Present aspects of management are: intensification of shock therapy, potassium substitution and treatment of cerebral edema. The possibly dangerous role of hypotonic solutions is discussed. The lowering of the as yet high lethality of diabetic coma is an urgent necessity.
对1960年至1973年间763例糖尿病昏迷病例的部分治疗结果进行简要回顾发现,重症监护病房设立后致死率显著下降。目前的治疗要点包括:强化休克治疗、补钾及脑水肿治疗。文中讨论了低渗溶液可能存在的危险作用。降低目前仍然较高的糖尿病昏迷致死率是当务之急。