[The possibilities for correcting hydro ion metabolism in acute surgical pathology in diabetics].
On the basis of examination of 634 patients with acute surgical endotoxemia in patients with diabetes mellitus the following features have been revealed: hypertonic dehydration has dominant as well as hyperkalemia, marked hyperazotemia. Oliguria was detected only in 18.8% of patients. Plasmic osmolarity was 296-348 mosm/l, predominantly for account of hyperazotemia and hyperglycemia. 86.97% of patients showed ketoacidosis. The scheme of intensive therapy of surgical endotoxemia in patients with decompensative diabetes mellitus with programme applications for paternal computers is suggested.
Gushcha
A L
AL
Tarasenko
S V
SV
D000208:Acute Disease; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D003681:Dehydration / Q000097:blood / Q000628:therapy; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000097:blood / Q000628:therapy; D013514:Surgical Procedures, Operative; D014883:Water-Electrolyte Imbalance / Q000097:blood / Q000628:therapy*
D007328:Insulin
Vozmozhnosti korrektsii gidroionnogo obmena pri ostroĭ khirurgicheskoĭ patologii u bol'nykh sakharnym diabetom.