我院最近收治1例高渗性非酮症性糖尿病昏迷患者,由于未能及时确诊,造成死亡。为吸取教训及供临床同道借鉴,特报告如下。男性,46岁,住院号5676。因劳累,五天前开始头昏、无力、纳差、多汗及恶心。于1981年2月11日入院。起病后无发热、呕吐。尿量少,小便正常。既往体健,无各种急慢性病史。体检:体温36.2℃,脉搏52次/分,血压140/80毫米汞柱。神清,消瘦,重病容,轻度脱水,无皮疹及发绀,巩膜未见黄染,表浅淋巴结不肿大。头颈部无异常。心肺阴性。腹平软,肝脾不大。肾区无叩痛。神经系统无阳性发现。实验室检查:血红蛋白14克,红细胞488万,白细胞8400,中性79%,淋巴19%,单核2%,血沉8毫米/小时。尿粪常规正常,尿糖定性2次均阴性。胸透(一)。心电图:窦性心动过缓。肝脾超声探查结果正常。入院 Our hospital recently admitted a hypertonic non-diabetic diabetic coma patients, due to failure to timely diagnosis, resulting in death. To learn lessons and learn from the clinical colleagues, special report is as follows. Male, 46 years old, hospital number 5676. Due to fatigue, dizziness, weakness, anorexia, sweating and nausea began five days ago. Admitted to hospital on February 11, 1981. After onset no fever, vomiting. Urine less urine normal. Past physical health, no history of various acute and chronic diseases. Physical examination: body temperature 36.2 ℃, pulse 52 beats / min, blood pressure 140/80 mm Hg. Shen Qing, weight loss, serious illness, mild dehydration, no rash and cyanosis, sclera no yellow dye, superficial lymph nodes are not swollen. Head and neck no abnormalities. Heart-lung negative. Abdomen soft, not large liver and spleen. No pain in the kidney area. No positive neurological system found. Laboratory tests: 14 grams of hemoglobin, 4880000 erythrocytes, white blood cells 8400, 79% neutral, lymphatic 19%, mononuclear 2%, ESR 8 mm / h. Normal urinary excretion, urine qualitative 2 negative. Chest through (a). ECG: sinus bradycardia. Liver and spleen ultrasound findings normal. Admission