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目的探讨管饲温开水对糖尿病高渗昏迷病人血糖、血钠及血浆有效渗透压的影响。方法管饲组采用双通道补液（管饲温开水与静脉补液）；对照组单纯静脉补液。结果管饲组22例中20例，对照组14例中7例血浆有效渗透压降至320mmol／L以下；管饲组治愈20例，死亡2例，对照组治愈6例，死亡8例。两组比较有显著性差异（P＜0．05）。结论管饲温开水是抢救糖尿病高渗昏迷的有效措施，能显著降低死亡率。
Objective To investigate the effects of warm water tube with tube feeding on blood glucose, serum sodium and effective osmotic pressure of hypertensive diabetic coma. Methods Tube feeding group with dual channel rehydration (tube feeding warm water and intravenous rehydration); control group intravenous rehydration alone. Results In the control group, the effective osmotic pressure of the plasma in 7 of the 14 patients in the control group dropped below 320 mmol / L. In the tube feeding group, 20 patients were cured and 2 patients died, while in the control group, 6 patients were cured and 8 patients died. There was significant difference between the two groups (P <0.05). Conclusion Tube feeding warm water is an effective measure to rescue hypertonic diabetic coma, can significantly reduce mortality.