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高渗性非酮症性糖尿病昏迷(HNDC)是糖尿病严重的急性并发症之一。近年来,随着诊疗条件的提高,其HNDC的误诊率和病死率都有显著的下降。本文统计和分析了5年中26例HNDC病人,对其临床特点和治法报告如下: 一般资料与治法 本文26例中男12例、女14例,平均年龄53.61±13.97岁,其中大于60岁者10例占38.47％。26例中有糖尿病史者18例,病史最长者15年,大于10年的3例,1至9年的12例,平均3.4年。3例入院前一周出现口渴、多饮、乏力等症状,无症状者5例。诱因以感染居多12例(46.2％);糖不适当的摄入过多(经口、静脉或腹膜透析等)9例;停和/或减用降糖药物9例;伴上消化道出血者5例;长期应用皮质类固醇3例;术后发病1例。表情淡漠或意识朦胧9例、意识丧失15例,12例腱反射减弱或消失。8例腱反射亢
Hyperosmolar non-ketotic diabetic coma (HNDC) is one of the serious complications of diabetes mellitus. In recent years, with the improvement of medical conditions, the misdiagnosis rate and mortality rate of HNDC are significantly decreased. This article statistics and analysis of 26 cases of HNDC patients in 5 years, its clinical features and treatment are as follows: General information and therapies in this article 26 cases, 12 males and 14 females, mean age 53.61 ± 13.97 years, of which more than 60 10 cases accounted for 38.47% of the elderly. Twenty-six patients had a history of diabetes mellitus in 18 cases, the longest history of 15 years, more than 10 years in 3 cases, 1-9 years in 12 cases, an average of 3.4 years. 3 cases of thirst, polydipsia, fatigue and other symptoms one week before admission, asymptomatic in 5 cases. Incentives to infection in up to 12 cases (46.2%); inappropriate sugar intake (oral, intravenous or peritoneal dialysis, etc.) in 9 cases; stopping and / or reducing the use of hypoglycemic drugs in 9 cases; accompanied by upper gastrointestinal bleeding 5 cases; long-term use of corticosteroids in 3 cases; postoperative onset in 1 case. 9 cases of indifferent or vague expressions, loss of consciousness in 15 cases, 12 cases of tendon reflexes diminish or disappear. 8 cases of tendon hyperreflexia