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非酮症性高渗性糖尿病昏迷（Nonketotichyperosmolardi－abeticcoma，NHDC）是糖尿病的严重并发症。其特点是严重的高血糖，血浆渗透压高及严重脱水，血钠高而无酮症酸中毒。临床表现复杂多变，隐蔽。因此极易漏诊及误诊。病死率较高，达50％～69.2％［1］。我院急诊科1987～19
Nonketotic hyperosmolar diabetic coma (NHDC) is a serious complication of diabetes. It is characterized by severe hyperglycemia, high plasma osmotic pressure and severe dehydration, high blood sodium and no ketoacidosis. Complex and changeable clinical manifestations, covert. Therefore easily missed diagnosis and misdiagnosis. High mortality rate, up to 50% to 69.2% [1]. Our hospital emergency department 1987 ~ 19