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急性脑血管疾病反应性高血糖临床上较为常见。就本组结果而言,发病率为34.6%。在急诊情况下,特别是深昏迷患者、各种深浅反射均亦已消失,很难以及时确诊,给临床用药带来一定困难。我们认为同时问诊、体格检查、CT检查、血糖及酮体的测定对缩短诊断时间、提高诊断正确率有很大帮助。脱水剂的应用以速尿为宜,其作用快、效果好、副作用小,胰岛素对脑血管病有肯定的疗效,早期应用极为有利。
Acute cerebrovascular disease reactive hyperglycemia clinically more common. In this group, the incidence was 34.6%. In emergency situations, especially in patients with deep coma, all kinds of deep and shallow reflex have disappeared, it is difficult to diagnose in time, bringing some difficulties to clinical medication. We believe that simultaneous interrogation, physical examination, CT examination, blood glucose and ketone body determination to shorten the diagnosis time, improve the diagnostic accuracy of a great help. The application of dehydrating agent to furosemide is appropriate, its effect is fast, the effect is good, the side effect is small, and insulin has definite curative effect on cerebrovascular disease. Early application is extremely beneficial.