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糖尿病非酮症高渗性昏迷是糖尿病患者死亡的主要原因之一。现将2例糖尿病患者因诊治不当诱发非酮症高渗性昏迷的教训报告如下。例1:男,43岁。既往有糖尿病史。体检:体温38.7℃,血压146/92毫米汞柱,脉搏120次/分。神清,右肺呼吸音减弱,胸透示右侧胸部呈大片状致密阴影,无液平面。血常规检查,白细胞13800个/立方毫米,中性粒细胞78％,淋巴细胞22％,血糖210毫克％,尿糖++。入院诊断:①干性胸膜炎,②糖
Non-ketotic hypertonic diabetic coma is one of the major causes of death in diabetic patients. Now 2 cases of diabetes due to misdiagnosis of non-ketotic hyperosmolar coma induced by the report are as follows. Example 1: Male, 43 years old. Past history of diabetes. Physical examination: body temperature 38.7 ℃, blood pressure 146/92 mm Hg, pulse 120 beats / min. God clear, the right lung breath sounds weakened, the chest shows the right side of the chest was large dense shadow, no liquid level. Blood tests, leukocytes 13800 / cubic mm, 78% of neutrophils, lymphocytes 22%, 210 mg of blood sugar, urine sugar ++. Admission diagnosis: ① dry pleurisy, ② sugar