河北医学2012，Vol.18Issue(12)：1736-1740,5.DOI:10.3969/j.issn.1006-6233.2012.12.025
糖尿病乳酸性酸中毒23例临床分析
Clinical Analysis of 23 Cases of Diabetic Lactic Acidosis
摘要
Abstract
Objective: To investigate the inducement and clinical features of diabetic lactic acidosis. To improve the diagnosis and treatment of patients with diabetic lactic acidosis. Method:The clinical data of 23 cases for diabetic lactic acidosis were analysed retrospectively. Result:In 23 cases ,20 cases with biguanidestreatment ( 87. 0% ) ;19 cases with a clear history of infection ( 82. 6% ) ; 11 cases with chronic renal insufficiency (47. 8% ) ;8 cases with heart failure(34. 8% ) ; 5 cases with abnormal liver function(21. 7% ). After active treatment, 18 cases with successful rescue, and 5 cases with death. Conclusion: Using biguanides treatment, infection and organ dysfunction can increase the risk of diabetic lactic acidosis for diabetic patients. Diabetic lactic acidosis is an acute disease and has such characteristics as seriously condition and high case mortality rate. Clinical manifestations of diabetic lactic acidosis were usually covered by signs and symptoms of primary diseases, causing missed diagnosis and misdiagnosis frequently. So we should attach importance to this disease.关键词
乳酸性酸中毒/糖尿病/诱发因素/治疗Key words
Diabetic lactic acidosis / Diabetes/ Inducement factor/ Treatment引用本文复制引用
尹延伟,张中东,胡爱民..糖尿病乳酸性酸中毒23例临床分析[J].河北医学,2012,18(12):1736-1740,5.
