老年糖尿病酮症酸中毒22例分析

The analysis of 22 cases of senile diabetic ketoacidosis

目的 探讨老年糖尿病酮症酸中毒 (DKA)误诊原因及预防对策。方法 对 2 2例老年DAK的临床资料进行回顾性分析。结果 DKA诱因表现突出掩盖症状 ,临床医生对本病认识不足、思路狭窄及询问病史粗疏是误诊的主要原因。结论 提高对老年期本病的认识 ,对糖尿病患者出现恶心、呕吐腹痛以及各种感染、应激状态 ;对原因不明的腹水、休克者均应考虑DKA可能 ,详问病史、搜查体征 ,结合临床表现进行必要的实验室检查及综合分析 。

AIM To inquire into the cause of senile diabetic ketoacidosis(DKA) and the prevention countermeasure of the disease. METHODS The clinical references of senile DKA have been looked back and analysed. RESULTS The cause of DKA is projecting and has covered the symptoms. The clinical doctors Lack understanding of the disease. It is the major cause of the misdiagnosis of the disease that their trains of thoughts are narrow and they ask about the history of the disease carelessly. CONCLUSION The knowledge of senile DKA must be raised. The nausea,vomitting,adbdominal pain,all kinds of infections,stress state,idopathic ascites and shock of the patients of diabetes must be considered as DKA probably. Inquiring the history of the disease carefully,searching for the symptoms of it,making laboratory diagnosis and analysing comprehensively are important means in recognizing the disease and making diagnosis early and correctly.