2型糖尿病乳酸性酸中毒并上消化道出血6例临床分析

摘要

Objective: To explore the clinical characteristics, prophylaxis and treatment to patients with type 2 of diabetes complicated with lactic acidosis and upper gastrointestinal hemorrhage. Methods: The clinical data of 8 patients with type 2 of diabetes complicated with lactic acidosis were respectively reviewed from Jan. 2000 to Dec. 2011. Results: Among the 8 cases, 6 cases suffered from upper gastrointestinal hemorrhage, and 3 cases manifested melena or haematemesis. 4 cases recovered after 7~14 days treatment and 2 cases died. Conclusions: Early treatment and prophylaxis should be used to patients with type 2 of diabetes complicated with lactic acidosis due to the high occurrence of upper gastrointestinal hemorrhage.%　　目的：探讨2型糖尿病乳酸性酸中毒并上消化道出血的特点及防治方法。方法：回顾性分析2000年1月至2011年12月收治的糖尿病乳酸性酸中毒患者8例的临床资料。结果：糖尿病乳酸性酸中毒并上消化道出血的发病率为6/8,其中黑便和呕吐咖啡样物各3例,经治疗7~15天,痊愈4例,死亡2例。结论：糖尿病乳酸性酸中毒并上消化道出血发生率高,需尽早防治。