一般所说的糖尿病性昏迷,是指糖尿病性酮症酸中毒(DKA)。此外,还有高渗性非酮症性(HHNK)昏迷和乳酸酸中毒。因此,重要的是正确地对各种昏迷鉴别诊断与及时治疗。糖尿病性昏迷如能早期诊断,并给予适当的胰岛素及水、电解质,只要没有严重合并症,则可能恢复。一、糖尿病性昏迷的鉴别诊断糖尿病性昏迷重要的是早期查明原因,在考虑糖尿病性昏迷之前,必须除外脑血管意外、药物中毒、酒精等中毒,以及口服降糖药物和使用胰岛素患者出现的低血糖性昏迷。所以,在初诊时要立即使用简易血糖测定器测定血糖。若没有预备血糖测定器,可首 Generally referred to as diabetic coma, refers to diabetic ketoacidosis (DKA). In addition, hypertonic non-ketotic (HHNK) coma and lactic acidosis. Therefore, it is important to correctly diagnose and treat all kinds of coma. Diabetic coma if early diagnosis, and given the appropriate insulin and water, electrolytes, as long as no serious complications, it may recover. First, the differential diagnosis of diabetic coma Diabetic coma is important to identify the cause early, before considering diabetic coma, must be excluded except cerebrovascular accident, drug poisoning, alcohol poisoning, and oral hypoglycemic drugs and the use of insulin patients Hypoglycemic coma. Therefore, when the first visit to use simple blood glucose measuring device for the determination of blood glucose. If you do not prepare blood glucose monitor, you can first