Скачать с ютуб 糖尿病酮症酸中毒的治疗原则是什么 白秀萍 山西医科大学第二医院 в хорошем качестве

糖尿病酮症酸中毒的治疗原则是什么 白秀萍 山西医科大学第二医院

糖尿病酮症酸中毒的治疗原则是什么 白秀萍 山西医科大学第二医院 糖尿病酮症酸中毒它会引起，糖尿病患者发生休克和昏迷，所以导致1型糖尿病患者死亡的最重要的原因，所以诊断了糖尿病酮症酸中毒进入了抢救的程序，就要积极地治疗，治疗首先就是要抢救他的休克，抢救休克首先我们就要补液。所以酮症酸中毒的患者首先要积极地补液，补液的过程中首先我们就是先快后慢先盐后糖，通常在前面1到2个小时内，休克的患者我们要补充到一千到两千毫升的盐水，让患者尽快脱离休克的危险把休克先纠正了，再就是用小剂量的胰岛素治疗，小剂量的胰岛素治疗，除了降低血糖，它还可以抑制酮体的生成这就是最重要的两点，就是补液和胰岛素的治疗剩下的治疗措施包括，纠正他的并发症预防他那些诱因的发生，然后就是护理把这几点做到了以后，酮症酸中毒通常是往往可以能纠正的。 What is the treatment principle of diabetic ketoacidosis It causes diabetic ketoacidosis, Diabetic patients have shock and coma, So the most important cause of death in type 1 diabetes, So we diagnosed diabetic ketoacidosis and entered the rescue procedure, We need to actively treat them, First of all, the treatment is to rescue his shock, First of all, we need rehydration to rescue shock. Therefore, patients with ketoacidosis should first actively rehydrate, In the process of rehydration, first of all, we are fast, then slow, first salt, then sugar, Usually in the first 1 to 2 hours, For patients with shock, we need to add 1000 to 2000 ml of saline, Let the patient get out of shock as soon as possible and correct the shock first, And then there's a small dose of insulin, A small dose of insulin, In addition to lowering blood sugar, It can also inhibit the production of ketones, which is the most important two points, It's rehydration and insulin therapy. The rest of the treatments include, Correct his complications, prevent his triggers, And then it's after nursing has done these things, Ketoacidosis is usually correctable.