急诊低血糖昏迷患者的临床诊断与治疗效果分析.docVIP

精品论文 参考文献 急诊低血糖昏迷患者的临床诊断与治疗效果分析 （陕西省延安大学附属医院急诊科 陕西 延安 716000） 【摘 要】目的：分析探讨急诊低血糖昏迷患者的临床诊断与治疗方法，观察治疗效果。方法：选取我院2013年9月~2015年5月收治的82例急诊低血糖昏迷患者为本组研究对象，回顾性分析了患者的临床资料。82例患者经确诊后立即给予25%~50%葡萄糖溶液静脉注射，并针对性给予5%~10%葡萄糖溶液持续性静脉滴注，加强血糖检测，分析患者的治疗效果。结果：67例患者症状得到迅速缓解，神志转清，治疗2~3d后痊愈出院；9例患者经血糖纠正后仍昏迷，加用甘露醇与氢化可的松静脉滴注后逐渐清醒，治疗3~4d后出院；另6例因就诊较晚，昏迷时间长，血糖纠正治疗后出现反应迟钝与记忆力减退情况，无死亡病例。结论：对急诊低血糖昏迷患者的及早诊断确诊与治疗对减少患者死亡、提高抢救成功率起着关键性的作用。 【关键词】低血糖昏迷；急诊内科；临床诊断；治疗 【中图分类号】R587.2 【文献标识码】A 【文章编号】1004-6194（2015）02-0092-02 Analysis of clinical diagnosis and treatment effect of acute hypoglycemic coma patients Zhang Lin Yanan University Affiliated Hospital Emergency department 716000 【Abstract】Objective：To investigate the clinical diagnosis and treatment of the patients with acute hypoglycemic coma.Methods：The clinical data of 82 patients with acute hypoglycemia coma in our hospital from September 2013 to May 2015 were analyzed retrospectively.Immediately after the diagnosis, 25%~50% glucose solution was injected intravenously,And for the continuous intravenous infusion of 5%~10% glucose solution,Strengthen the detection of blood sugar, analysis of the effect of the treatment of patients.Results：The symptoms of 67 patients improved quickly, consciousness, recovered after the treatment of 2~3d;9 patients after correcting blood glucose is still in a coma, and with mannitol and hydrocortisone intravenously after waking up,Discharged after treatment with 3~4d.The other 6 cases due to late treatment, coma for a long time, blood glucose correction after treatment reactions slow and memory loss,no deaths.Conclusion：The diagnosis and treatment of the emergency hypoglycemia coma patients can play a key role in reducing the mortality and improving the success rate of rescuing patients. 【Keywords】Hypoglycemic coma;Emergency internal medicine;Clinical diagnosis;Treatment 低血糖昏迷指的是由低血糖引起的昏迷，近年来低血糖症的发生率随着糖尿病的不断增加而逐渐升高，低血糖昏迷患者日益增加，成为了糖尿病治疗中的最为常见与主要的一种并发症，患者一旦延误诊治时机将造成的脑损伤，严重的导致死亡。由于低血糖昏迷的病因较为复