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本文对12例高渗性非酮症性糖尿病昏迷者进行了回顾性分析。11例有明确发病诱因,包括感染、进甜食、用药不当等。仅7例发病前有糖尿病史。所有病人均出现意识障碍并伴脱水征象。全部病例血渗透压>330mOsm/L。病死率为41.7%。重点探讨了该病的早期诊断要点和及时纠正高渗状态的重要性,分析了影响该病预后的多种因素,提出在针对高渗高糖的同时,积极处理各种并发症和伴随症对预后具有同等的重要性。
In this paper, 12 cases of hyperosmolar non-diabetic diabetic coma were retrospectively analyzed. Eleven patients had a clear cause of the disease, including infection, into the sweets, improper use of drugs. Only 7 patients had a history of diabetes before onset. All patients had unconsciousness and dehydration signs. All cases of blood osmolality> 330mOsm / L. Case fatality rate was 41.7%. It focuses on the early diagnosis of the disease and the importance of timely correction of hypertonic state, analyzes the various factors that affect the prognosis of the disease, puts forward that in the treatment of hyperosmolar hyperglycemia, it should actively deal with various complication and complication The prognosis is of equal importance.