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yxfbbiedtj · Wysłany: Pią 10:07, 04 Mar 2011

Diabetic nonketotic hyperosmolar syndrome Analysis of 45 Cases

Increased glucose metabolism disorder severe high blood sugar, high osmotic pressure, dehydration. DNHS no ketosis is due to the majority of the pancreas to move to a certain amount of Insulin secretion, although it can not meet the traumatic delayed rupture of 18 cases c Central Hospital of Zhejiang Province, Cheng Li Lishui 323000) Blue Lingyou Tian Xin, rupture is delayed askance traumatic rupture of a special type of splenic injury accounted for 14% to 20% by the rupture of the spleen and subcapsular central evolved true rupture rupture, is the performance of abdominal trauma 48 hours after the rupture of symptoms askance . Hiding, not typical of the early symptoms misdiagnosed, over time the symptoms of abdominal pain and internal bleeding. Acute illness,[link widoczny dla zalogowanych], changes quickly, complications, and patients were higher than the normal rupture ... the North. Should cause the surgeon's attention. We have since October 1990 to 20BB in Yi lu traumatic rupture of March received a total of t32 down, in which 18 cases of delayed rupture of the barnyard. Accounted for l4%, Diagnosis and Treatment of the report are as follows junction station. 1 General Information of the clinical data of 11 groups of males and l6 down, 2 females, aged I5 - 72 years old, average age 42 years. The original date of injury: 5 side of the road accident, 9 injured blunt down, fall injury in 3 cases,[link widoczny dla zalogowanych], the other one down. Stress positions: 7 down the left hypochondrium, left upper abdomen in 6 cases. Other 5 cases. l8 closed down both sets of abdominal injury. Rupture of the time after injury were more than 48 hours, 8 of which fell 2 to 5 days, 6 ~ l0 days in 6 cases, 10 - 30 days 4 down. Minimum time of 48 hours. Maximum time of 30 days. 1.2 The main clinical manifestations and diagnosis of the patients had left upper quadrant after injury or legislation hypochondrium pain. And pain relief, abdominal pain 48 hours after the sudden increase or there whole abdominal pain. L6 which left abdominal pain down the left quarter, 2 cases of rib pain. 3 cases of abdominal distension. 3 cases of wine left shoulder pain. Dizziness, vomiting and fever and 1 down. l8 have a barrier down rebound abdominal tenderness ft shad needs sugar to inhibit the decomposition of fat,[link widoczny dla zalogowanych], however. Severe high blood sugar, high osmotic pressure can inhibit the formation of ketone bodies. Reduced liver ketogenesis 【. Purpose and can be currently found DNHS ketosis or ketoacidosis may be the combined stress induced antagonistic to claim the island feeding significantly increased due to cable. Tian Hao, 24 patients treated by low dose treatment is basic cable make fried sunny island is a key advocate of juvenile isotonic supplement slope,[link widoczny dla zalogowanych], a back body to make up, pay attention to meeting minutes and the application of antibiotic cable, Sui Shen alkali rejection drugs, the plot of the threshold processing species of Taiwan,[link widoczny dla zalogowanych], and disease. Ban death of four high, so pre-determined pace back and forth and when the diagnosis is essential.