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Published on: March 11, 2017
[The possibilities for correcting hydro ion metabolism in acute surgical pathology in diabetics]
Abstract:
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.
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