Profile of diabetic ketoacidosis at a teaching hospital in Benghazi, Libyan Arab Jamahiriya.
Profile of diabetic ketoacidosis at a teaching hospital in Benghazi, Libyan Arab Jamahiriya.
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阿拉伯利比亚民众国班加西一家教学医院的糖尿病酮症酸中毒概况。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
H. M. Elmagerhei
中科院分区：
文献类型：
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作者：
R. Elmehdawi;H. M. Elmagerhei
这项研究描述了阿拉伯利比亚民众国班加西一所教学医院100例糖尿病酮症酸中毒(DKA)的概况。DKA在患有1型糖尿病的年轻女性中更为常见，主要是由于可预防的原因，例如中断胰岛素治疗和/或感染。DKA也发生在2型糖尿病患者中，死亡率较高，因为他们是合并发病的老年患者。临床表现以聚尿素、乏力、腹痛、呕吐最多见，昏迷较少见。大量病例是1型糖尿病的首发症状，因此在所有急腹症或意识水平下降的患者中都应考虑这种诊断。本研究中高死亡率(10%)的原因是多因素的。
This study describes the profile of 100 cases of diabetic ketoacidosis (DKA) at a teaching hospital in 1 Benghazi, Libyan Arab Jamahiriya. DKA was more frequent in young women with type 1 diabetes and mostly due to preventable causes, e.g., disrupted insulin treatment and/or infection. DKA also occurred in type 2 diabetics, with a higher mortality rate, as they were older patients with co-morbidity. Polyurea, fatigue, abdominal pain and vomiting were the most common clinical features, while coma was rarer. A high number of cases were first presentations of type 1 diabetes; hence this diagnosis should be considered in all patients with acute abdomen or decreased level of consciousness. The reasons for high mortality rate in this study (10%) were multifactorial.