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目的 探讨高渗性非酮症性昏迷患儿的治疗方法。方法 回顾分析 14例高渗性非酮症性昏迷患儿的临床资料。结果 患儿在治疗 2～ 3d后神经精神症状好转 ,脱水症状消失。观察组和对照组第 1、3天血糖、血钠比较有显著性差异 (P <0 .0 5 ) ;血浆渗透压比较有显著性差异 (P <0 .0 1)。结论 高渗性非酮症性昏迷患儿在迅速补充血容量 ,纠正高渗状态 ,保持酸碱平衡治疗时 ,同时应用小剂量胰岛素 ,逐渐纠正高血糖及去除病因的基础上联合胃管内补液疗效显著 ,值得临床应用。
Objective To investigate the treatment of hypertonic non-ketotic coma children. Methods The clinical data of 14 children with hypertonic non-ketotic coma were retrospectively analyzed. Results After treatment, children with neuropsychiatric symptoms improved after 2 ~ 3d, dehydration symptoms disappeared. There were significant differences in blood glucose and serum sodium between the observation group and the control group on the 1st and 3rd days (P <0. 05). There was significant difference in plasma osmotic pressure between the observation group and the control group (P <0.01). Conclusion Hyperosmolar non-ketotic coma children in rapid replacement of blood volume, to correct hypertonic state, maintaining acid-base balance treatment, while the application of small doses of insulin, and gradually correct the cause of hyperglycemia and remove the basis of combined gastric tube rehydration Significant effect, it is worth clinical application.