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METHOD OF CORRECTING STRESS HYPERGLYCEMIA IN PATIENTS WITH ACUTE SURGICAL PATHOLOGY OF ABDOMINAL ORGANS

机译:矫正腹部器官急性手术病理的患者应激性高血糖的方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, in particular to resuscitation and intensive therapy. For this purpose insulin of ultra-short action "NovoRapid Penfill" is introduced to patients with acute surgical pathology of abdominal organs and manifestations of stress hyperglycemia intravenously. In case of initial glycemia level 8.3-12.2 mmole/l - 2 unit/h, 12.2 mmole/l - 4 unit/h. An hour later, if glycemia level is higher than 10.0 mmole/l, rate is increased at 1-2 unit/h, if values are 8.9-10.0 mmole/l rate is increased at 0.5-1 unit/h, if values are 8.3-8.8 mmole/l rate is increased at 0.1-0.5 unit/h until values 6.2-8.2 mmole/l are achieved. If glucose level reduces to 6.2 mmole/l, insulin dosage is reduced at 0.5 unit/h and stopped if values are lower than 6 mmole/h.;EFFECT: method ensures increase of efficiency of stress hyperglycemia correction and prevention of hypoglycemic states.;6 ex
机译:技术领域本发明涉及医学,尤其涉及复苏和强化治疗。为此目的,将具有超短效作用的“ NovoRapid Penfill”胰岛素引入患有腹腔器官急性外科病理且静脉内出现应激性高血糖表现的患者。在初始血糖水平为8.3-12.2 mmol / l-2单位/ h的情况下,> 12.2 mmole / l-4单位/ h。一小时后,如果血糖水平高于10.0 mmol / l,则当速率为8.9-10.0 mmol / l时,速率将增加1-2单位/ h;如果值为8.3,则速率将以0.5-1单位/ h速率增加。以0.1-0.5单位/小时的速率增加-8.8毫摩尔/升的速率,直到达到6.2-8.2毫摩尔/升的值。如果葡萄糖水平降至<6.2 mmole / l,则胰岛素剂量将以0.5单位/ h降低;如果血糖值低于6 mmole / h,则停止胰岛素剂量。效果:该方法可确保提高应激性高血糖症纠正的效率并预防低血糖状态。 ; 6前

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