(例如5g葡萄糖/h),可以避免酮症的发生2注意补充电解质21.AlbertiKGMM.Diabetesandsurgery.EllenbergRifkin’sDiabetesMellitus:TheoryandPractic.5thed.Stanford,CT,AppletonandLange.1997:875-885.2.Hirsch,I.DiabetesCare.1990.13:980-991.第30页,讲稿共74页,2023年5月2日,星期三术中葡萄糖需要量基础代谢率增加,...
美国国家糖尿病数据组(NationalDiabetesDataGmup,NDDG**妊娠妇女羊水超过2000ml以上,通常多发生在28周以上。妊娠中毒症是由于糖尿病代谢障碍与妊娠期代谢异常叠加所致,多发生于妊娠24周后,出现高血压,水肿和蛋白尿,严重时脑水肿,颅内压增加,出现抽搐昏迷。酮症酸中毒多发生在妊娠早期和中期自然流产和致畸的主要原因:高...
英文糖尿病PPT课件 DiabetesMellitus Zhao-xiaojuan .1 Introduction Diabetesmellitus isaheterogeneousgroupofmetabolicdiseasescharacterizedbyhyperglycemiaresultingfromdefectsininsulinsecretion,insulinaction,orboth..2 Introduction Thechronichyperglycemiaofdiabetes isassociatedwithlong-termdamage,dysfunction,andfailureofvarious...
* * * Aim: To measure ketonemia in a control population of pregnant women and in a population of women with gestational diabetes (GDM). To define a normal ketonemia threshold for the controls and to determine whether or not this value could play a role in the clinical management of women...
MANAGEMENT OF PRE-GESTATION DIABETES DURING PREGNANCY Insulin is the main drug used, few centers use oral hypoglycemic agents. Team work by obst, endocrino, diabetic educator and neonatologist. Patients cooperation is essential by diet control – regular monitoring – physical exercise...
妊娠Multiple gestationMultiple gestation先兆子痫病史先兆子痫病史Preeclampsia in a previous pregnancy Preeclampsia in a previous pregnancy(particularly if severe or before 32 weeks of gestation)(particularly if severe or before 32 weeks of gestation)孕前糖尿病孕前糖尿病PregestationalPregestational diabetes ...
cell is low GADA positive HLA-DQ B chain is non aspartate homozygote Management Goals Good metabolism control(blood sugar、blood lipid、HBA1C etc) Relieve symptoms Keeping good physiologic state and a social life Good quality of live Prevent the development of acute complications of diabetes(...
gestationaldiabetesmellitus Clinicalmanifestation Metabolicdisorderssyndrome:polyuria,polydipsia,polyphagiaandweightloss Acutecomplicationsofdiabetes:DKA,hyperosmolarnonketoticdiabeticcoma,infection DKA evocationfactors surgery,stress,infection,deficiencyofinsulindosage,pregnancy,delivery,anesthesia,orillnessmaytriggerDKA Clin...
Fluidrateshouldbeadjustedaccordingtoage,cardiacstatus,anddegreeofdehydrationtoachieveaurineoutputof1to2mL/kg/hr.Fluidresuscitationalonemayhelptolowerhyperglycemia.第二十一页,共三十一页。ManagementInsulin DKAcannotbereversedwithoutinsulin,andinsulintherapyshouldbeinitiatedassoonasthediagnosisiscertain.Inthepast,veryhig...
第二页，共三十一页。problem •whatisthediagnosis•whatisthereasonofhyperkalemiaandhyponatremia•whatisthereasonofMetabolicacidosis•howtodisposethediseaseifyouaretheERdoctoroncall 第三页，共三十一页。Introduction DKAisasyndromeinwhichinsulindeficiencyandglucagonexcesscombinetoproduceahyperglycemic,dehydrated,...