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目的 :探讨颅内血肿合并糖尿病的外科治疗及预后情况。方法 :对 6 0例该型患者进行回顾性总结 ,分析其高血糖的发生机理、诊断、治疗及预后。结果 :该型患者发生酮症酸中毒 8例 ,高渗性昏迷 2例 ,感染 12例。临床治愈 36例 ;好转 9例 :轻残 3例 ,中残 4例 ,重残 2例 ;死亡 12例。结论 :尽早清除颅内血肿 ,降低颅内压 ;及时确诊和治疗糖尿病 ,防治并发症 ,可减少死亡率和残存率。
Objective: To investigate the surgical treatment and prognosis of intracranial hematoma with diabetes. Methods: Sixty cases of this type of patients were retrospectively analyzed, its mechanism of hyperglycemia, diagnosis, treatment and prognosis. Results: The patients had ketoacidosis in 8 cases, hyperosmolar coma in 2 cases and infection in 12 cases. Clinical cure in 36 cases; improved in 9 cases: light residual in 3 cases, 4 cases of residual, severe disability in 2 cases; 12 cases of death. Conclusions: As early as possible, intracranial hematoma can be removed and intracranial pressure can be reduced. In addition, timely diagnosis and treatment of diabetes and prevention of complications can reduce the mortality and residual rate.