عوارض متابولیکی حاد دیابت در بخش اورژانس

Anita Sabzghabaei, Sahar Mirbaha, Majid Shojaee
525

دیده شده


چکیده

کتواسیدوز دیابتی و سندرم هیپراسمولار هیپرگلیسمیک دو عارضه متابولیکی حاد دیابت ملیتوس کنترل نشده هستند. کتواسیدوز دیابتی اغلب در بيماران ديابتي نوع 1و سندرم هیپراسمولار هیپرگلیسمیک بیشتر در بيماران ديابتي نوع 2 رخ مي دهد. هیپرگلیسمی، اسیدوز متابولیک و دهیدراسیون نشانه های بالینی بارز کتواسیدوز دیابتی می باشند و در مقابل ویژگی های سندرم هیپراسمولار هیپرگلیسمیک شامل هیپرگلیسمی و دهیدراسیون شدید بدون وجود اسیدوز و اختلالات سطح هوشیاری از خواب آلودگی تا گیجی و تشنج وکوما است. اصلاح دهیدراسیون، کاهش گلوکز خون و برقراری هموستازی الکترولیت ها اصول اساسی درمان هر دو وضعیت می باشند. در مرور حاضر تصمیم بر ارائه تصویری جامع از پاتوفیزیولوژی، تظاهرات کلینیکی، تشخیص و درمان این دو عارضه مهم می باشد.

کلید واژه‌ها

اختلالات متابولیسم گلوکز؛ کتواسیدوز دیابتی؛ کمای هایپراسملار هایپرگلیسمیک غیرکتونی؛ درمان اورژانس

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DOI: https://doi.org/10.22037/ijem.v4i2.16552

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