晚期糖尿病酮症酸中毒

糖尿病酮症酸中毒（DKA），如果它进步和恶化不治疗，最终导致无意识，从组合的高血糖症、脱水和休克，用尽。昏迷才会出现在高级的阶段，通常在感染后 36 小时或以上的恶化呕吐和过度通气。

在早期的酮症酸中毒的中间阶段，患者通常刷新，呼吸迅速和深刻，可见脱水，但从减少灌注，苍白的脸色平坦的呼吸和快速心率常目前达到昏迷时。但是，这些功能是变量并不总是一样的描述。

如果病人已知患有糖尿病，通常怀疑 DKA 诊断是从外观和历史的 1-2 天的呕吐。确诊时急诊科常见血液化学揭示高血糖和严重的代谢性酸中毒。

DKA 治疗包括等压液迅速稳定流通、钾持续静脉盐水和其他电解质取代赤字，扭转酮症酸中毒，和并发症仔细监测胰岛素。

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