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目的:对临床表现类似脑梗死的糖尿病急症误诊为脑梗死的病例进行分析,提高早期诊断正确性,避免误诊误治。方法:回顾我院急诊科2001-07/2008-12共收治临床表现类似脑梗死的糖尿病急症误诊为脑梗死16例,分析误诊原因,总结经验教训。结果:误诊16例,11例症状缓解,5例死亡。结论:正确认识糖尿病非酮症高渗性昏迷和低血糖症的神经系统表现,及时检测血糖,有助早期诊断,正确治疗。
OBJECTIVE: To analyze the misdiagnosed diabetes mellitus patients with clinical manifestations of similar cerebral infarction as cerebral infarction, improve the accuracy of early diagnosis and avoid misdiagnosis and mistreatment. Methods: A retrospective analysis of our hospital emergency department 2001-07 / 2008-12 were admitted to clinical manifestations of similar acute cerebral infarction misdiagnosed as cerebral infarction in 16 cases, analysis of the causes of misdiagnosis, lessons learned. Results: 16 cases were misdiagnosed, 11 cases relieved and 5 cases died. Conclusion: Correct understanding of nervous system manifestations of diabetic non-ketotic hyperosmolar coma and hypoglycemia, and timely detection of blood glucose will help early diagnosis and correct treatment.