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低血糖的急診處理及相關(guān)問題討論 王超杰 為什么講低血糖? ? 診斷簡單 ? 治療簡單 ? 短期預(yù)后良好 ? 治療者有成就感 ? 《 美國醫(yī)學會雜志 ?內(nèi)科學 》 (JAMA Internal Medicine)2020年 3月 10日在線發(fā)表的一項研究顯示,與 2型糖尿病“過度嚴格”胰島素控制相關(guān)的重度低血糖每年導致近 10萬例次急診就診和 3萬例次住院,并且特別常見于老年患者 ? By: MARY ANN MOON, Clinical Endocrinology News Digital Network ? ? Severe hypoglycemia related to overly tight insulin control for type 2 diabetes prompts nearly 100,000 emergency department visits and 30,000 hospitalizations each year and is particularly mon among older patients, according to a report published online March 10 in JAMA Internal Medicine. ? ? In an analysis of data from a nationally representative sample of hospitals in the National Electronic Injury Surveillance Sy stemCooperative Adverse Drug Event Surveillance project, researchers estimated that 97,648 ED visits occurred annually during a 5year period among adults with type 2 diabetes who presented with hypoglycemiarelated shock, loss of consciousness, seizure, injury or fall, or altered mental status. Most cases involved blood glucose levels of 50 mg/dL or less, said Dr. Andrew I. Geller of the division of healthcare quality promotion at the Centers for Disease Control and Prevention, Atlanta, and his associates. ? ? The case rate was