两例糖尿病酮症酸中毒病例的分析

Analysis of 2 cases of diabetic ketoacidosis

糖尿病酮症酸中毒(DKA)是内分泌科常见的急症之一,随着新药的研发应用,诱发DKA发生的原因变得更为复杂,而作为临床医生不仅仅要快速准确地判断患者酮症酸中毒的病情、合理予以补液降糖等治疗,更要在病情发展变化的过程中寻找线索、判断诱发原因,进而能够更好地帮助患者合理规避DKA的发生。本文就两例临床中遇到的真实案例,分析其较为复杂的病因并探讨其中的经验和教训。

Diabetic ketoacidosis (DKA) is one of the common endocrine emergencies. With the development and applications of new drugs, the inducing causes of DKA become more and more complicated. We as clinicians should quickly and accurately evaluute the severity of DKA, and administrate reasonable rehydration and hypoglycemic treatment. What we should do better is searching the causes of DKA and help patients reasonably avoid its occurrence. In this article, two cases from clinical practice are analyzed.