【摘要】 目的旨在了解小儿Ⅰ型糖尿病酮症酸中毒（ＤＫＡ）时血乳酸水平的变化。方法１９９６年２月～１９９７年１２月对天津儿童医院内分泌科住院的２５例ＤＫＡ患者进行血乳酸水平的临床观察。结果Ⅰ型ＤＭ在发生ＤＫＡ时仍可以发生乳酸酸中毒，其发生率为４％。结论ＤＫＡ时血乳酸可升高，并可发生乳酸性酸中毒，其血乳酸水平与血糖、尿糖、酮体尿、ｐＨ值、ＢＥ变化无相关性。在充分的病因、对症治疗和积极的胰岛素治疗，ＤＫＡ恢复后乳酸可逐渐下降，以至恢复正常，不需特殊治疗。更多还原

【Abstract】 Objective To explore the lactic acid metabolism in DKA patients.Methods 25 DKA patients were admitted in TianJin Children’s Hospital between February 1996 and December 1997.The Level of blood lactic acid was examined by clinical observation.Results The incidence of lactic acidosis was 4%.Conclusion The level of DKA patient’s blood lactic acid was higher,DLA might be occurred.There was not relationship betwen blood lactic acid,blood glucose,urine glucose,urine ketones and pH BE.When DKA had been treated,as the blood pH,urine ketones were recovered,the blood lactic acid returned to normal Level.Need not particular treatment.更多还原