强酸类中毒

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TUhjnbcbe - 2021/9/6 20:58:00

Question问题:

WhichchildrenpresentingindiabeticketoacidosisarecandidatesfortreatmentwithsubcutaneousinsulinandwhichsuchpatientsrequireregularinsulinviacontinuousIVinfusion?哪些糖尿病酮症酸中*(DKA)儿童可以用皮下胰岛素治疗,哪些则需要持续性静脉常规胰岛素?

Answer答案:

InchildrenwithmildDKAwhoareabletotolerateoralfluids,rapid-actinginsulinmaybegivenSQ.However,forchildrenwithmoderatetosevereDKA(definedbypH7.2),regularinsulinshouldbegivenbyIVinfusion.

能够耐受口服液体的轻度DKA儿童,可以皮下给速效胰岛素。但是,中重度DKA(定义为pH7.2)儿童则需要静脉注射常规胰岛素。

参考文献:

AnnEM,epub,5/7/21

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