ICU重症患者严重低血糖临床分析及对预后的影响
王云琰;万竹知
【期刊名称】《中国社区医师》 【年(卷),期】2015(000)014
【摘要】目的:对ICU重症患者严重低血糖进行临床分析,探讨其对预后的相关影响。方法:2013-2014年收治严重低血糖患者120例,60例早期严重低血糖,60例延迟严重低血糖,停止强化胰岛素控制,以50%葡萄糖注射液60 mL静脉注射,再以50%葡萄糖注射液50 mL静脉持续泵入,10 mL/h处置严重低血糖患者。对患者一般资料、APACHE评分、病史、预后等内容进行记录,并对其2种疾病的发生几率及预后影响进行探讨。结果:重症患者发生早期严重低血糖与延迟严重低血糖发生率差异无统计学意义(P>0.05);早期严重低血糖患者的APACHE评分、死亡率要高于延迟严重低血糖,差异有统计学意义(P<0.05)。结论:重症患者出现严重低血糖能反映出患者病情发展情况,且早期严重低血糖对患者生命安危造成了威胁,其死亡率要显著高于延迟严重低血糖,在临床中,患者应引起重视,及时加以治疗。%Objective:To explore the clinical analysis of severe hypoglycemia in patients in ICU and its effect on prognosis. Methods:120 patients with severe hypoglycemia were selected from 2013 to 2014.60 cases of patients were early severe hypoglycemia,58
cases
of
patients
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delayed
severe
hypoglycemia,improved glucose control was stopped,50% GS 60 mL with intravenous injection,and then 50% GS 50 mL with continuous intravenous pumping,10 mL/hour were used for the treatment of