Jacot E
Département de médecine, Hôpital des Cadolles, Neuchâtel.
Praxis (Bern 1994). 1995 Nov 7;84(45):1300-3.
In this article emergencies are presented from the view of the practitioner. At first, hypoglycemias caused by insulin and sulfonylurea are analyzed, emphasizing in particular the necessity for surveillance of hypoglycemias due to sulfonylurea drugs in hospital. Hyperosmolar and ketoacidotic decompensations are reviewed and the limits of the ambulatory care stressed. Finally, some less classical but nevertheless frequent situations like podiatric, ophthalmologic and neurologic urgencies of diabetics are described.
本文从从业者的角度介绍了各类急症。首先分析了由胰岛素和磺脲类药物引起的低血糖症,特别强调了在医院监测磺脲类药物所致低血糖症的必要性。回顾了高渗性和酮症酸中毒失代偿情况,并强调了门诊护理的局限性。最后,描述了一些不太典型但却常见的情况,如糖尿病患者的足病、眼科和神经科急症。