非酮症高渗性糖尿病昏迷是糖尿病的一种严重并发症,并非罕见。1972年Arieff首先报告33例,国内首都医院于1973年亦有报道,近年陆续见有报告。由于该症临床表现复杂,故易误诊,死亡率高达40～70％。本院自1973～1980年共收治10例,现报告如下。典型病例彭××,男性,69岁,退休职员,住院号8307。患者夜尿频繁一年,入院前一个月三多症状明显,四天来每隔半小时饮水和排尿一次,食慾减退,继而出现手抖、舌硬症状,就诊于某院,症状未减。2天后卧床不起,神志恍惚,反应迟钝,继之昏迷不醒,且伴有发作性全身抽搐而入院。否认糖尿病家族史。体检:体温37.8℃,脉搏140次/分,呼吸 Non-ketotic hypertonic diabetic coma is a serious complication of diabetes and is not uncommon. In 1972, Arieff firstly reported 33 cases and the Capital Metropolitan Hospital reported it in 1973. In recent years, some reports have been reported. Because of the complex clinical manifestations, it is easy to misdiagnosis, the mortality rate as high as 40 to 70%. The hospital from 1973 to 1980 were treated 10 cases, are as follows. Typical cases Peng × ×, male, 69 years old, retired staff, hospital number 8307. Patients with nocturnal frequent one year, one month before admission more than three symptoms, every four hours to every half an hour of water and urination, loss of appetite, followed by hand shaking, tongue symptoms, treatment in a hospital, the symptoms are not reduced. 2 days after bedridden, trance, unresponsive, followed by unconsciousness, and accompanied by episodes of generalized convulsions and admission. Denied family history of diabetes. Physical examination: body temperature 37.8 ℃, pulse 140 beats / min, breathing