临床带教糖尿病急慢性并发症PPT课件

ulse was 110 beats/min in sinus rhythm with good volume. Temperature was 37.5℃, blood pressure 95/70mmHg and respiratory rate 30/min. ?She was rather dehydrated and grimaced when her abdomen was palpated, although there was no guarding or rebound tenderness, and bowel sounds were present normally.РResultsРSodium: 128mmol/l , Potassium: 5.9mmol/l , Chloride: 91mmol/l, Plasma CO2 content: 8mmol/l ?Urea: 11.3mmol/l, Creatinine: 286umol/l, Blood glucose: 36.3mmol/l, Serum amylase: 530u/l?Haemoglobin: 15.6g/dl , HCT: 52.2%, WCC: 16.3*103/mm3?PH: 7.02 , pO2: 16.5kPa (123mmHg), pCO2: 1.9kPa (14mmHg), Base excess: -17mmol/l, Actual HCO3: 9mmol/l, Standard HCO3: 11mmol/lР定义Р为糖尿病控制不良所产生的一种需要急诊治疗的情况。是由于胰岛素不足及升糖激素不适当升高,引起糖、脂肪和蛋白质代谢紊乱,以至水、电解质和酸碱平衡失调,以高血糖、高血酮和代谢性酸中毒为主要表现的临床综合征。Р概述Р酮症Р糖尿病酮症酸中毒Р糖尿病酮症酸中毒昏迷