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高渗性高血糖性昏迷,自73年来国内共有四例报告,我院于76年、79年曾遇到二例,兹报告如下。例一:住院号218515,男、51岁。患者因一天来恶心呕吐,呕吐物带血丝,于76年1月5日以上消化道出血住某院。住院后仍频频呕吐,并出现烦渴、多饮多尿、神志不清等症状。腰穿脑脊液检查正常。以昏迷原因待查不除外“颅内占位性病变”而于76年1月7日转来我院。既往无糖尿病史。体检:血压70/50毫米汞柱,浅昏迷、轻度紫绀、四肢凉、舌干燥,心肺腹及神经系统检查无特殊阳性所见。化验:尿糖++++,酮体弱阳性,血色素13.6克％,白血球17250/立方毫米,中性97％,淋巴3％,血糖1780毫克％,非蛋白氮85毫克％,二氧化碳结合力52容积％。
Hyperosmolar hyperglycemic coma, since 73 years a total of four cases of domestic reports, our hospital in 76 years, 79 years have encountered two cases, it is reported as follows. Example 1: Hospitalization number 218515, male, 51 years old. Patients with nausea and vomiting one day, vomit bloodshot, on January 5, 76 in more than a hospital bleeding digestive tract. Frequent vomiting after hospitalization, and appear polydipsia, polydipsia, delirium and other symptoms. Lumbar cerebrospinal fluid was normal. To coma reason to be investigated without exception, “intracranial space-occupying lesions” and in January 7, 76 transferred to our hospital. No previous history of diabetes. Physical examination: blood pressure 70/50 mm Hg, shallow coma, mild cyanosis, cold limbs, dry tongue, cardiopulmonary and neurological examination found no special positive. Assay: Urine sugar ++++, ketone body weakly positive, hemoglobin 13.6g%, white blood cells 17250 / mm3, neutral 97%, lymph 3%, blood glucose 1780mg%, non-protein nitrogen 85mg%, carbon dioxide binding 52 Volume%.