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題名 | Acute Diabetic Syndrome--A Clinical Analysis of Precipitating Factors, Causes of Death and Case Fatality Rate=急性糖尿病症候群﹣﹣誘發因素、死亡原因及病例死亡率的臨床分析 |
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作者姓名(中文) | 顏鴻欽; 宣立人; | 書刊名 | 醫學研究 |
卷期 | 10:6 1990.05[民79.05] |
頁次 | 頁365-372 |
分類號 | 415.668 |
關鍵詞 | 急性糖尿病症候群; 誘發因素; 死亡原因; 病例; 死亡率; 臨床分析尿病; |
語文 | 英文(English) |
中文摘要 | 從民國70年1月到75年8月,在183例急性糖尿病症候群病人中,我們共收集到209次發作記錄加以統計分析。 在209次急性糖尿病症候羣發作中,男女比為91/118(1:1.3),平均年齡為50±20.4歲。本研究將急性糖尿病症候羣細分為糖尿病酮酸血症(DKA),佔44%;混合組(Mixed),佔35%及高血糖高滲透壓性昏迷(HHNC),佔21%等三組。誘發因素在DKA依序為中斷胰島素治療(40.2%)、感染(27.2%)、先前未知有糖尿病者(18.5%)及不明原因(12.0%);在HHNC組依序則為感染(45.5%)、中樞神經病變(22.7%)、先前未知有糖尿病者(18.2%)及中斷胰島素治療(9.1%)。最主要的死亡原因為敗血性休克(59%)。病例死亡率在DKA為12%(但在年齡30歲以下者只有2.7%)、在Mixed組為13.7%,而在HHNC則為40.9% |
英文摘要 | From January 1981 to August 1986, we collected 209 episodes of acute diabetic syndrome in 183 diabetic patients. Among 209 episodes, male/female ratio as 91/118 (1:1.3), average age was 50.9±20.4. In this study, acute diabetic syndrome was subdivided into three groups: diabetic ketoacidosis (DKA) (44%), Mixed (35%), and hyperosmolar hyperglycemic nonketotic coma (HHNC) (21%). The precipitating factors in DKA were omission of insulin injection (40.2%), infection (27.2%), previously undiagnosed diabetes (18.5%), and unknown cause (12.0%); and in HHNC were infection (45.5%) CNS disorder (22.7%), previously undiagnosed diabetes (18.2%), and omission of insulin injection (9.2%). The leading cause of death was septic shock (59%). The case fatality rate was 12% in DKA (but only 2.7% in ages younger than 30 years), 13.7% in Mixed, and 40.9% in HHNC. |
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