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高渗性非酮症性糖尿病昏迷(简称HNKC)及酮症酸中毒性糖尿病昏迷目前认为均系血浆高渗透压所致。病死率可达15～21%。我们发现有不少病人在典型HNKC之前,血浆渗透压和血糖值已逐渐升高,虽未达到实验诊断数值,但临床上已有脱水和轻度神经系统功能改变,可认为是轻型HNKC,及早发现和治疗,预后可明显改观。现将我院1978年9月至1981年12月住院治疗的10例作一初步小结。
Hyperosmolar non-ketotic diabetic coma (referred to as HNKC) and ketoacidosis, diabetes, coma, are currently considered due to hyperosmolarity. Case fatality rate of up to 15 ~ 21%. We found that many patients before the typical HNKC, plasma osmolality and blood glucose values have gradually increased, although not up to the experimental diagnostic value, but clinically dehydration and mild changes in nervous system function, can be considered light HNKC, early Discovery and treatment, the prognosis may be significantly improved. Now in our hospital from September 1978 to December 1981 hospitalized 10 cases made a preliminary summary.