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Abstract DKA is an emergency condition that can be life threatening if not treated properly (Kitabchi and Wall, 1999). The present work was undertaken to study the clinical situations, precipitating factors, laboratory data, prevalence, and outcome of diabetic ketoacidosis among the patients admitted to Mansoura Emergency Hospital (M.E.H). Clinical and biochemical studies were carried out on 220 ketoacidotie patients admitted to M.E.H. 125 patients (56.8%) had type J OM and 95 patients (43.2%) had type 2 OM. The average age was 40.7 ± 17.5 years, they included 125 females and 95 males. The most prevalent presenting symptoms were gastrointestinal symptomS (in the form of nausea, vomiting, and abdominal pain) ( 4 9.6%), followed by disturbed consciousness level (39%), and intensiftcation of polyuria & polydipsia (23.6%). In tbe present study oKA was common in females than males with /0 ratio 1.3 but this is not statistically significant. 1 n the present study, recurrent episodes a I’ D KA were significantly increased in type 1. |