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笔者在临床中遇到1例糖尿病性乳酸酸中毒发作伴急性心肌梗死患者,现对其病因及诊疗思路进行分析。男,57岁,因“发现血糖升高3年,多饮、多尿10天,意识模糊1天”于2015年12月12日11:32急诊入院。近来口服二甲双胍缓释片1g qd治疗,10天前开始出现明显多饮,多尿,在当地医院测空腹血糖:14mmol/L,1天前因大量饮酒后出现意识模糊,呼之能应,伴呕吐,无大小便失禁等,
I encountered in clinical cases of 1 case of diabetic lactic acidosis episodes associated with acute myocardial infarction, now its etiology and treatment ideas for analysis. Male, 57 years old, due to “found that elevated blood sugar 3 years, drink more, polyuria 10 days, confusion 1 day ” at December 12, 2015 11:32 emergency admission. Recently, oral metformin sustained-release tablets 1g qd treatment, 10 days ago began to show significant drink more, polyuria, fasting blood glucose measured in the local hospital: 14mmol / L, a day before a large number of alcohol after the emergence of confusion, Vomiting, no incontinence, etc.,