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糖尿病酮症酸中毒(DKA)是体内胰岛素严重缺乏或胰岛素的反调节激素显著增高,使糖尿病病情加重引起的以高血糖、高酮血症和代谢性酸中毒为主要改变的临床综合征,是糖尿病最常见的急性并发症。约1/3Ⅰ型糖尿病患者以DKA为首发表现[1]。2015年4月我科收治1例DKA并发急性肾衰竭、横纹肌溶解症的患者,经多科室合作、精心治疗及护理,患者康复出院。现将急救与护理体会报道如下。
Diabetic ketoacidosis (DKA) is a clinical syndrome characterized by a serious lack of insulin or a significant increase in the anti-regulative hormone of insulin, a major change in hyperglycemia, hyperkalemia, and metabolic acidosis, which is caused by an increase in the severity of diabetes The most common acute complications of diabetes. About 1/3 type I diabetes patients with DKA as the first manifestation of [1]. In April 2015, our department treated 1 patient with DKA complicated with acute renal failure and rhabdomyolysis. After multiple departmental cooperation, careful treatment and nursing, patients were discharged. First aid and nursing experience are reported below.