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本文对84例收住院的糖尿病酮症酸中毒病人的血糖、K~+、肾功能及部分病人的血pH、CO_2—CP、EKG 进行了回顾性分析。发现在DKA 病人中高钾血症的发生率为19%。DKA 时合并高钾血症时死亡率较高。须提高对高血钾的警惕和及时处理。认为高血钾与DKA 病人的胰岛素缺乏影响细胞K~+的转运、高血糖使得血渗透压升高K~+在细胞内作重新分布、脱水和急性肾功能损害有关。
In this paper, we retrospectively analyzed the blood sugar, K ~ +, renal function, blood pH, CO_2-CP and EKG in 84 patients with diabetic ketoacidosis admitted to hospital. The incidence of hyperkalemia was found to be 19% in DKA patients. DKA hyperkalemia combined with higher mortality. Must be vigilant and timely treatment of hyperkalemia. Insulin deficiency in hyperkalemia and DKA patients is thought to affect the transport of K ~ + in cells. Hyperglycemia makes the blood osmotic pressure increase. K ~ + is redistributed intracellularly and is related to dehydration and acute renal impairment.