摘要
目的 :探讨早期鼻饲温开水抢救高渗性非酮症性糖尿病昏迷 (HNDC)患者的临床疗效与护理。方法 :对确诊的4 5例 HNDC患者早期鼻饲温开水胃肠内补液 ,配合静脉输液、微量泵持续静脉泵入胰岛素等治疗 ,监测患者的血糖、电解质和血浆有效渗透压的变化。结果 :撤除鼻饲管时患者的血糖、血钠、血浆有效渗透压较治疗前均有显著性降低(P<0 .0 1) ;治愈 4 3例 ,死亡 2例。结论 :早期鼻饲温开水胃肠内补液是抢救 HNDC的有效措施 ,能显著降低患者的血浆有效渗透压 ,降低病死率 ,方法安全、可靠。
Objective:To explore the clinical effect and nursing mehods in rescuring nonketotic hyperosmolar coma of diabetes(HNDC) with early nasal feeding of warm water.Methods:45 cases of HNDC were given early nasal feeding of warm water combined with veinous transfusion of insulin using a pump device.The changes of blood glucose,electrolyte and plasma osmotic pressure were detected and analyzed.Results:After removing nasal feeding tube,the blood glucose,sodium and plasma osmotic pressure of patients decreased significantly as compared with these before treatment(P<0 01).43 cases were cured with two dead.Conclusion:Early nasal feeding of warm water can save the life of patient with HNDC effectively.This method is safe,accurate and practical.
出处
《华夏医学》
2004年第5期665-667,共3页
Acta Medicinae Sinica
