dka

A Case Report of DKA with Epileptic Seizure

以癫痫发作为首发症状的糖尿病酮症酸中毒1例报道

Objective To explore the lactic acid metabolism in DKA patients .

目的旨在了解小儿Ⅰ型糖尿病酮症酸中毒（DKA）时血乳酸水平的变化。

Patients with DKA also had a shorter symptom duration .

有糖尿病酮酸症的病人其发病前症状时间也较短。

A retrospective analysis of children with diabetic ketoacidosis ( DKA ) in 20 years

儿童糖尿病酮症酸中毒20年回顾分析

Insulin should be reduced in the amount in type 1 diabetes mellitus children with DKA .

低血钾可能会减慢酮症纠正速度，宜减少1型糖尿病DKA儿童患者胰岛素用量。

The main inducement of DKA were infection ( 73 % ) .

DKA的主要诱因为感染（73%）。

The low-dosage insulin was effective to children with DKA .

小剂量胰岛素短时静脉滴注治疗DKA效果好。

Objective Of diabetic ketoacidosis ( DKA ) the occurrence of incentives , clinic characteristics .

目的探讨糖尿病酮症酸中毒（DKA）的发生、诱因、诊疗特点。

Conclusions The treatment of insulin pump was more effectively and safely than intravenous insulin infusion in patients with DKA .

结论胰岛素泵持续皮下输注胰岛素治疗DKA较常规小剂量静脉滴注胰岛素更安全有效。

Conclusion : The measurement of β - OHB has the leading meaning to the DKA diagnosis and treatment .

结论：β-OHB测定对DKA的诊断和治疗有指导意义。

Another typical combination is DKA , dehydration , and hyperventilation from pneumonia or sepsis .

另一个典型的组合是DKA合并脱水，及因肺炎或败血症导致的换气功能增强。

Objective : To investigate the usefulness and effectiveness of insulin pump for the treatment of Diabetic ketoacidosis ( DKA ) .

目的：探讨胰岛素泵在糖尿病酮症酸中毒（DKA）治疗中的作用和疗效。

The study adopted the descriptive research method , and investigated and analyzed the occurrence and the inducing factors among the patients with DK and DKA .

方法302例DK和DKA患者为研究对象，采用描述性研究方法，调查与分析DK和DKA患者的发病情况及诱发因素。

Objective To enhance the understanding of diabetic ketoacidosis ( DKA ) complicated with hyperlipidemia and acute pancreatitis ( AP ) .

目的提高临床医师对糖尿病酮症酸中毒（DKA）合并高脂血症（HL）和急性胰腺炎（AP）的认识。

Objective To explore the mechanism of the changes of blood-cerebrospinal fluid barrier in rabbits with diabetic ketoacidosis ( DKA ) .

目的探讨糖尿病酮症酸中毒的血脑脊液屏障损伤机制。

Methods One hundred and fourteen children with insulin dependent diabetes mellitus ( IDDM ), including 53 children with DKA treated during 20 years were retrospectively analysed .

方法回顾分析了20年胰岛素依赖型糖尿病住院儿童114例（其中DKA53例）的资料。

This article mainly discusses the definition , mortality rate , pathophysiology , precipitating factors , main clinical manifestations , laboratory findings and principles of treatment in DKA and HHS .

本文主要讨论DKA和HHS的定义、死亡率、病理生理、诱因、主要临床表现、实验室检查和治疗原则。

Results High morbidity was found in 10 to 16 years old children . DKA was often caused by infection ; late complications of diabetes mellitus was resulted from interrupted injection of insulin .

结果10～16岁儿童发病率最高，感染是诱发DKA的常见原因，未长期坚持胰岛素治疗易导致IDDM远期并发症的发生。

Conclusions : The decreased level of TT_3 、 TT_4 and increased rT3 in DKA patients associated with the severity and prognosis of DKA .

结论：DKA患者体内TT3、TT4水平下降、rT3升高，与疾病严重程度和预后有关。

AG determination combined with the change of correlation between △ AG and △ HCO_3 will help evaluate the severity , the response to the treatment and the prognosis of DKA .

对DKA病人AG的测定结合以△AG与△HCO3相关关系的变化有助于判断DKA的严重程度、治疗效果与预后。

Patients with DKA manifested dyspnea , digestive symptoms and the classic symptoms of diabetes mellitus at onset of AMI , only 29 % patients presented with chest pain .

DKA合并AMI发病时以气促、消化道症状和糖尿病典型三多症状多见，伴随胸痛者只有29%；

Results These patients showed clinical feature of DKA and some other characteristics . ( 1 ) Six patients , aged ( 34.2 ± 4.1 ) years were admitted with main complaint of acute abdominal pain .

结果除DKA的临床特征外，还有：（1）6例患者均为中青年，年龄（34.2±4.1）岁，以急性腹痛就诊，均有腹部压痛；

Methods Serum β hydroxybutyric acid was determined with automatic enzymatic assay techniques in 44 children patients ( age 8 months ~ 13 years ) with type I diabetes complicated with DK or DKA .

方法对44例I型糖尿病并发DK、DKA住院患儿采用全自动酶分析法测定血清β羟丁酸等项目。

Objective To study the value of serum β hydroxybutyric acid determination in children with type I diabetes complicated with diabetes ketosis ( DK ) or diabetes keto acidosis ( DKA ) .

目的通过对I型糖尿病并发酮症（DK）、酮症酸中毒（DKA）的住院患儿进行血清β羟丁酸及其他生化指标的检测，确立血清β羟丁酸测定在该并发症临床诊断及疗效观察中的重要性及意义。

For the NPH enlist DKA group , the bounce rate of KET , incidence of hypoglycemia , rate of hospitalization and average time of hospitalization all had different grade of reduction .

对DKA的NPH参与治疗显示，KET反跳率、低血糖发生率、需住院率以及平均住院时间均有相当程度的降低。

Methods : Questionnaires were used in 158 patients with diabetic ketoacidosis ( DKA ) or their family members from June 2003 to August 2004.Their reasons were analysed and the corresponding countermeasures were formulated .

方法：2003年6月￣2004年8月以问卷形式对158例DKA患者或家属进行调查，并分析原因，制订对策。

To evaluate an enzymatic method for determining serum beta-hydroxybutyrate (β - HB ) with the National Committee for Clinical Laboratory Standards ( NCCLS ) projects , and to discuss its clinical values in diabetic ketoacidosis ( DKA ) .

目的应用美国临床实验室标准化委员会（NCCLS）的标准化评价方案对酶法测定血清β-羟丁酸进行初步评价，并探讨β-羟丁酸对糖尿病酮症酸中毒诊断及治疗监测的意义。

Objective To evaluate the difference of efficacy between continuous subcutaneous insulin infusion ( CSII ) and continuous intravenous insulin infusion ( CVII ) with human insulin in patients with diabetic ketoaciduria or ketoacidosis ( DKA ) .

目的评价胰岛素泵连续皮下输注（CSII）和静脉连续胰岛素输注（CVII）在糖尿病酮症治疗中的疗效差异。

Methods 66 DKA patients were randomly divided into CSII group and control group . In CSII group , the Novolin R was subcutaneously infused using insulin pump continuously . The continuous venous infusion of Novolin R was administrated in control group .

方法DKA患者66例，随机分为CSII组和对照组，CSII组给予胰岛素泵持续皮下输注诺和灵R，对照组用小剂量诺和灵R持续静滴。

Conclusions : MODS or MOF was the important reason of death of the DKA . The mortality of DKA with MODS or MOF was connected with the number of the involved organs and scoring of MODS or MOF .

结论：MODS/MOF是DKA的重要死因，MODS/MOF的病死率与MODS/MOF器官数目及评分有关。