The metabolic derangements and treatment of diabetic ketoacidosis.

The metabolic derangements and treatment of diabetic ketoacidosis.
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DOI:
10.1056/nejm198307213090307
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发表时间:
1983-07
期刊:
The New England journal of medicine
影响因子:
--
通讯作者:
Jeffrey S. Flier;Mary Jean Moore;D. Foster;J. Mcgarry
Jeffrey S. Flier;Mary Jean Moore;D. Foster;J. Mcgarry
中科院分区:
其他
文献类型:
--
作者:
Jeffrey S. Flier;Mary Jean Moore;D. Foster;J. Mcgarry

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Diabetic ketoacidosis is a common illness among patients with diabetes. The exact prevalence is unknown, but in one community the rate was estimated to be 13.4 episodes per 1000 patient-years in young persons with diabetes.1 It remains a serious event, with mortality rates as high as 6 to 10 per cent.2 , 3 In children under 10 years of age, diabetic ketoacidosis accounts for 70 per cent of diabetes-related deaths.4 Death may be due to derangements that are directly attributable to ketoacidosis, to complications associated with the illness itself, or to abnormalities induced by treatment. Because a substantial percentage of deaths is . . .