الخصائص السريرية و المخبرية للحماض الكيتوني السكري عند المرضى المصابين بالداء السكري في محافظة اللاذقية
Abstract
لقد أجريت هذه الدراسة على المرضى المقبولين بتشخيص حماض كيتوني سكري في قسم الأمراض الباطنة وقسم العناية المشددة في مستشفى الأسد الجامعي في اللاذقية، و ذلك بدءاً من 2006.08.01 و حتى 2008.08.01. صُنّف المرضى إلى ثلاث مجموعات ( داء سكري نمط 1وداء سكري من النمط 2 و داء سكري حديث التشخيص)، وذلك حسب نمط الداء السكري. شملت هذه الدراسة 23 مريضاً ( 10 ذكور، 13 أنثى )، معدل الأعمار الوسطي 48.26 ± ( 14.5 )، و كان 5 (21.73 %) لديهم داء سكري نمط 1، و 16 (69.56 %) لديهم داء سكري نمط 2 ، و 2 (8.69 %) لديهم داء سكري حديث الاكتشاف ( حيث كانت أول تظاهرة له هي الحماض الكيتوني السكري). كما كان الخمج هو العامل المسبب الأكثر شيوعاً (60.86%) . لقد وجد اضطراب في قيم البوتاسيوم عند (43.47%) من المرضى، وفقط (17.39%) كان لديهم نقص في تركيز شاردة البوتاسيوم عند القبول. متوسط فترة الاستشفاء بالأيام (4.8±1.7).كما كان الحماض عند المرضى بالنمط 1 (7.18±0.024) أشد منه عند مرضى النمط 2 (7.24±0.02) عند مستوى دلالة (p=0.05) .
This study included the Diabetic Ketoacidosis Patients, who were admitted to the Internal Medicine Department and Intensive Care Unit at Assad University Hospital in Latakia between 01.08.2006 and 01.08.2008. These patients were classified by the type of Diabetes Mellitus (DM) into three groups: (Type 1 DM, Type 2 DM, and newly diagnosed DM). This study included 23 Patients (10 male, 13 female); the mean average of age was 48.26 ± (14.5). 5 patients (21.73 %) had type 1 DM; 16 patients (69.56 %) had type 2 DM; and 2 patients (8.69 %) had newly diagnosed DM (the first clinical manifestation was diabetic ketoacidosis).
Infection was the most frequent precipitating factor (60.86%). Potassium concentrations found to be abnormal in (34.78%), and only (17.39%) had hypokalemia in admission. The mean average of duration of hospitalization was (4.8±1.7) days. The acidosis was type 1 DM group (7.18±0.024 more sever than the acidosis in type 2 DM group (7.24±0.02) p=0.05.
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