摘要
目的：探讨糖尿病酮症酸中毒（ＤＫＡ）患者感染的防治方法。方法：对９３例ＤＫＡ患者尽快控制高血糖、纠正脱水和酮症酸中毒，加强护理、避免损伤和继发感染，及早有效控制感染和加强营养支持治疗。结果：合并感染者５８例，感染为诱因者４５例；存在多菌种和（或）多部位感染者２１例，存在营养不良、低蛋白血症者３２例。治愈８９例，死亡４例（其中３例因延误诊治而死于严重肺感染和感染性休克）。
Objective:To explore the way of preventing and treating infection due to diabetic ketoacidosis (DKA).Methods:Ninetythree cases of DKA were analyzed.The therapy steps are consist of controling blood sugar level timely,correcting dehydration and DKA,intensify the care,avoiding trauma and secondary infection,intensify nutrition and appropriate supportive therapy.Results:Fiftyeight cases were complicated by infection;45 cases were induced by infection;21 cases were different bacteria or multiple location infected;32 cases were malnutrition or hypoproteinemia.Moreover,89 cases were cured,4 cases died (3 cases due to severe lung infection and septic shock,because to miss a therapy opportunity).Conclusions:It is an important management to controling and preventing infection for treating DKA.
