论文部分内容阅读
高渗性非酮症性糖尿病昏迷是中老年糖尿病的严重并发症之一,且有血糖极高、进行性意识改变、无明显的酮症酸中毒等特点,死亡率较高,需临床紧急处理。我们救治高渗性非酮症性糖尿病昏迷12例,体会如下。 1 临床资料 1.1 一般情况 本组男7例,女5例;年龄46～78岁,平均年龄65岁。既往无明确糖尿病病史6例。12例中伴肺部感染3例,脑梗死3例,急性胃肠炎2例,脑出血、上消化道出血、泌尿系感染各1例。
Hyperosmolar non-ketotic diabetic coma is one of the serious complications of middle-aged and elderly diabetes, and has high blood sugar, progressive changes in consciousness, no obvious ketoacidosis and other characteristics, a higher mortality rate, requiring clinical emergency treatment . We treat 12 cases of hypertonic non-ketotic diabetic coma, as follows. 1 Clinical data 1.1 General This group of 7 males and 5 females; aged 46 to 78 years, mean age 65 years. Past no clear history of diabetes 6 cases. 12 cases with pulmonary infection in 3 cases, 3 cases of cerebral infarction, acute gastroenteritis in 2 cases, cerebral hemorrhage, upper gastrointestinal bleeding, urinary tract infection in 1 case.