糖尿病和非糖尿病内分泌紧急情况:临床谱和结果来自北印度的第三级护理中心
Rahul Thakur1, Vivek Jha2, Soham Mukherjee2
1Department of Internal Medicine, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
AACE endocrinology and diabetes
|February 5, 2026
概括
糖尿病酸性 (DKA) 是常见的,但高血糖状态 (HHS) 和甲状腺风暴是高死亡率的危及生命的内分泌紧急情况,需要及时识别和治疗.
科学领域:
- 内分泌学 在内分泌学.
- 临界护理医学 临界护理医学
背景情况:
- 内分泌紧急情况很少见,但危及生命的情况需要立即医疗照顾.
- 关于非糖尿病内分泌紧急情况的数据有限,特别是在资源较低的环境中.
研究的目的:
- 调查北印度一家三级医院内分泌紧急情况的频谱,临床特征和结果.
主要方法:
- 一项前性观察性研究在18个月内进行.
- 包括12岁以上的患者,出现内分泌紧急情况.
- 系统地记录临床数据,生化参数和结果.
主要成果:
- 纳入了212名患者;DKA是最常见的 (69.3%),其次是高血症 (11.3%) 和低血糖症 (7.1%).
- 超大胞性高血糖状态 (HHS) 的死亡率为50%,甲状腺风暴的死亡率为100%.
- 高龄,降低GFR和更高的度预测了DKA的不良结果;更高的度与HHS的死亡率有关.
结论:
- 糖尿病酸性脂肪酸症 (DKA) 是常见的和可控的.
- 超大胞性高血糖状态 (HHS) 和甲状腺风暴存在显著的死亡风险,需要早期和积极的干预.
相关概念视频
Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Specialized Care Centers and Settings-II
1.3K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.3K
Endocrine Signaling
68.2K
Endocrine cells produce hormones to communicate with remote target cells found in other organs. The hormone reaches these distant areas using the circulatory system. This exposes the whole organism to the hormone but only those cells expressing hormone receptors or target cells are affected. Thus, endocrine signaling induces slow responses from its target cells but these effects also last longer.
68.2K
Tertiary Healthcare System
2.2K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.2K
The Electromagnetic Spectrum
65.4K
The electromagnetic spectrum consists of all the types of electromagnetic radiation arranged according to their frequency and wavelength. Each of the various colors of visible light has specific frequencies and wavelengths associated with them, and you can see that visible light makes up only a small portion of the electromagnetic spectrum. Because the technologies developed to work in various parts of the electromagnetic spectrum are different, for reasons of convenience and historical...
65.4K


