渭南一男子因新冠病毒感染并发糖尿病酮症酸中毒昏迷
<h1 class="rich_media_title " id="activity-name" style="margin-top: 0px; margin-bottom: 14px; padding: 0px; outline: 0px; font-weight: 400; font-size: 22px; line-height: 1.4; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; background-color: rgb(255, 255, 255); text-align: center;">41岁男子昏迷住进ICU，</h1><h1 class="rich_media_title " id="activity-name" style="margin-top: 0px; margin-bottom: 14px; padding: 0px; outline: 0px; font-weight: 400; font-size: 22px; line-height: 1.4; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; background-color: rgb(255, 255, 255); text-align: center;">院方：已是三例，严重可威胁生命</h1><section style="margin: 0px 0px 24px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); font-size: 16px; visibility: visible; overflow-wrap: break-word !important;"><section powered-by="xiumi.us" style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-align: left; justify-content: flex-start; display: flex; flex-flow: row nowrap; visibility: visible;"><section style="margin: 0px; padding: 20px 20px 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; width: 677px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(65, 128, 216, 0.09); border-style: solid; border-width: 0px 0px 13px; border-bottom-color: rgba(65, 128, 216, 0.35); visibility: visible;"><section powered-by="xiumi.us" style="margin: 20px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; justify-content: flex-start; display: flex; flex-flow: row nowrap; visibility: visible;"><section style="margin: 0px; padding: 23px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; width: 637px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgb(255, 255, 255); visibility: visible;"><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-align: justify; visibility: visible;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; overflow-wrap: break-word !important;"> 近日，一名41岁男子因新冠病毒感染并发糖尿病酮症酸中毒昏迷，生命垂危，住进了渭南市中心医院重症医学科，救治过程中险象重重。最终在问军锋副主任医师、黄丁丁主治医师、张颖护师等协力抢救下转危为安，转至内分泌科恢复治疗。</p></section></section></section><section powered-by="xiumi.us" style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-align: center; line-height: 0; visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; vertical-align: middle; display: inline-block; line-height: 0; visibility: visible;"></section></section><section powered-by="xiumi.us" style="margin: 20px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; justify-content: flex-start; display: flex; flex-flow: row nowrap; visibility: visible;"><section style="margin: 0px; padding: 23px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; width: 637px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgb(255, 255, 255); visibility: visible;"><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-align: justify; visibility: visible;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; overflow-wrap: break-word !important;"> 随着新冠感染人数日益增加，正值壮年的苏某也“中招”了。感染病毒后，他出现了多饮多尿10天，恶心呕吐伴意识障碍1天等症状。然而，令人担忧的是，苏某既往有2型糖尿病病史，高血压病1级（高危），意识不清、昏迷不醒的情况。家人将其送至市中心医院急诊科，经检查血糖41.28mmol/L，肾功示肌酐升高，考虑糖尿病酮症酸中毒、肾功能不全，速请重症医学科医师查看患者。</p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; visibility: visible;"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; overflow-wrap: break-word !important;"> 经检查，患者除血糖增高外，尚有满月脸、水牛肩、皮肤紫纹等症状，皮质醇节律异常，尿17-羟，17-酮增高可鉴别；一般体型偏瘦，发病年龄小，病程中有自发酮症及酮症酸中毒倾向，查IAA、ICA、GAD抗体阳性，脑血管性昏迷；经详细检查，患者被诊断为2型糖尿病性酮症酸中毒并昏迷，并伴有循环、肾脏、心脏等多器官及系统功能受损等病症，胸闷气短、呼吸衰竭，若不及时抢救，随时有生命危险。</p></section></section></section><section powered-by="xiumi.us" style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-align: center; line-height: 0;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; vertical-align: middle; display: inline-block; line-height: 0;"></section></section><section powered-by="xiumi.us" style="margin: 20px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; justify-content: flex-start; display: flex; flex-flow: row nowrap;"><section style="margin: 0px; padding: 23px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; width: 637px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgb(255, 255, 255);"><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-align: justify;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; overflow-wrap: break-word !important;"> 受新冠病毒感染的影响，重症医学科早已收满患者，此名糖尿病酮症酸中毒患者入院时已经陷入昏迷，情况非常紧急，为及时抢救危急重症患者生命，保障患者收治，科室统筹协调，医护人员克服重重困难，将患者收入科室进行紧急抢救。鉴于该患者情况特殊且病情相对复杂，患者入科后出现呼吸心跳骤停，重症医学科团队迅速给予抢救措施，并进行重症监护，积极救治。经过多日的针对性治疗及悉心照料，患者成功脱离危险。</p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; overflow-wrap: break-word !important;"> 像糖尿病性酮症酸中毒并昏迷致生命岌岌可危的类似患者近期重症医学科已成功救治三例，挽回患者生命。</p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; overflow-wrap: break-word !important;"> 糖尿病性酮症酸中毒为糖尿病最常见的急性并发症，起病急，进展快，患者多发生严重脱水，容易造成休克，多脏器衰竭，是造成死亡的主要原因。此例患者的成功救治，彰显了市中心医院重症医学科在救治急危重病例的能力和技术水平，医护团队用爱与责任创造的又一生命奇迹。</p></section></section></section><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-align: justify;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"/></p></section></section></section></section><p>来源：渭南市中心医院</p><link rel="stylesheet" href="//www.dafuping.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_GHZ" id="wcn_editor_css"/>
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