高血糖高渗非酮症综合征与糖尿病酮症酸中毒的差异

Gudisa Bereda
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引用次数: 0

摘要

由于胰岛素水平不足可能导致高血糖,糖尿病酮症酸中毒在胰岛素依赖型糖尿病患者中更为常见。糖尿病酮症酸中毒只有在体内的胰岛素不足以将血糖转化为能量时才会发生。然后肝脏利用这个过程中产生的酸,也就是酮,来分解脂肪以获取能量。当过量的葡萄糖进入糖尿病患者的肾小管时,就会发生渗透性利尿,导致大量的尿液产生和体积消耗,以及脱水。非胰岛素依赖型糖尿病更容易引起高血糖性高渗性非酮症综合征。非胰岛素依赖型糖尿病患者如果糖尿病没有得到控制,往往会出现高血糖和高渗性非酮症综合征。高血糖性高渗性非酮症综合征的大多数病例发生在非胰岛素依赖型糖尿病患者中,他们还伴有另一种减少液体摄入的疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differences Between Hyperglycemic Hyperosmolar Non-Ketotic Syndrome and Diabetic Ketoacidosis
Since high blood glucose levels might result from inadequate insulin levels, diabetic ketoacidosis is more common in those with insulin-dependent diabetes mellitus. Diabetic ketoacidosis develops only when there is insufficient insulin in the body to convert blood sugar into energy. The liver then uses the acids created by this process, known as ketones, to breakdown fat for energy. Osmotic diuresis, which results in significant amounts of urine production and volume depletion, as well as dehydration, occurs when an excessive amount of glucose enters the renal tubules of an individual with diabetes. Non-insulin-dependent diabetes mellitus can be more likely to cause hyperglycemic hyperosmolar nonketotic syndrome. More often than not, people with non-insulin-dependent diabetes mellitus who do not have their diabetes under control will experience hyperglycemic and hyperosmolar non-ketotic syndrome. The majority of cases of hyperglycemic hyperosmolar non-ketotic syndrome occur in people with non-insulin-dependent diabetes mellitus who also have another condition that reduces fluid intake.
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