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  • 简介:  摘要:目的:分析抗精神病药物急性中毒后心肌损伤采用左旋肉碱治疗的临床效果。方法:2018年5月~2020年9月,于某院收治的抗精神病药物急性中毒合并心肌损害患者中选取100例,按照随机数字表法分为两组,对照组行常规综合治疗,在此基础上,观察组联合左旋肉碱治疗,对比两组住院时间、APACHE II评分(急性生理学及慢性健康状况评分)、CK-MB(肌酸激酶MB同工酶)、CK(肌酸激酶)变化情况。结果:观察组患者住院时间为(10.02±2.15)d,短于对照组的(15.68±4.98)d,差异显著,P

  • 标签:   精神病药物 急性中毒 心肌损伤 左旋肉碱 
  • 简介:   [摘要 ] 目的 研究应用小剂量胰岛素持续滴注治疗小儿糖尿病酮症酸中毒的临床效果。方法 该次纳入 2019年 1—12月收治的 72例糖尿病酮症酸中毒患儿展开研究,按照随机数字表法分为两组,在常规治疗的基础上,对照组 36例采用常规剂量胰岛素治疗,观察组 36例采用小剂量胰岛素持续滴注治疗。将两组的临床相关指标、临床效果、住院时间、低血糖发生率进行比对。结果 观察组糖尿病酮症酸中毒患儿的尿酮体转阴时间、临床症状消失时间及住院时间短于对照组,血糖下降速度慢于对照组,空腹血糖水平、餐后 2 h血糖水平、低血糖发生率均低于对照组,临床总有效率高于对照组,差异有统计学意义( P<0.05)。结论 对糖尿病酮症酸中毒患儿采用小剂量胰岛素持续滴注治疗能够起到平稳降糖、改善临床症状的作用,还可减少低血糖的发生,具有较高的安全性。     [关键词 ] 小儿糖尿病酮症酸中毒 ;小剂量胰岛素 ;滴注    [Abstract] Objective To study the clinical effect of continuous infusion of low-dose insulin in the treatment of diabetic ketoacidosis in children. Methods 72 children with diabetic ketoacidosis admitted from January to December 2019 were enrolled in the study, and they were divided into two groups according to the random number table method. On the basis of conventional treatment, 36 cases in the control group were treated with conventional dose of insulin, and 36 cases in the observation group were treated with continuous infusion of low-dose insulin. The clinical related indexes, clinical effects, length of stay and incidence of hypoglycemia were compared between the two groups. Results the urine ketone body negative turning time, clinical symptoms disappearance time and hospitalization time of the observation group were shorter than those of the control group, the blood glucose decreased slower than the control group, the fasting blood glucose level, 2 h postprandial blood glucose level, hypoglycemia incidence rate of the observation group were lower than those of the control group, the clinical total effective rate was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion continuous infusion of low-dose insulin in children with diabetic ketoacidosis can play a stable role in reducing blood sugar, improving clinical symptoms, and reducing the incidence of hypoglycemia, with high safety.

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  • 简介:摘要:目的:及时应对因微生物污染食物所致的中毒事件,查找致病原因,预防此类事件再次发生。方法:采用流行病学调查与实验室检测相结合的方法。结果:累计发病教师78人,所有患者具有食用同种食物史;实验室共采集患者肛拭子5份,食品样品6份,并在食品样品中检出肠炎沙门氏菌。结论:加大对饮食工作的监管力度,以确保学校师生饮食安全。

  • 标签: 微生物污染 食物中毒 肠炎沙门氏菌