病毒性肝炎可发生各种糖代谢障碍,并发非酮症高渗性糖尿病昏迷(NKHC)较少见,其临床特征为严重高血糖、血浆渗透压增加,脱水、伴意识障碍而无明显酮症酸中毒,血糖>33.36mmol/L,血浆渗透压>350mmol/L,尿糖强阳性而尿酮体阴性或弱阳性。近年来我们遇到2例,现报告如下。例1男,29岁,因乏力、纳差、尿黄4天于1984年7月28日入院。既往无肝炎及糖尿病史。入院时一般 Viral hepatitis can occur a variety of glucose metabolism disorders, concurrent nonketotic hyperosmolar diabetic coma (NKHC) is rare, the clinical features of severe hyperglycemia, increased plasma osmolality, dehydration, associated with disturbance of consciousness without obvious ketosis Acidosis, blood glucose> 33.36mmol / L, plasma osmolality> 350mmol / L, strong positive urine glucose and urine ketone body negative or weakly positive. In recent years, we have encountered two cases, the report is as follows. Example 1 Male, 29 years old, due to fatigue, anorexia, urinary yellow 4 days in July 28, 1984 admission. No past history of hepatitis and diabetes. General admission