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高渗性非酮症糖尿病昏迷(HNDC)是由血和体液的高渗状态引起的糖尿病急性并发症。一般认为其与酮症无直接关系,故称为HNDC。HNDC的临床表现复杂多变易被误漏诊致使病情恶化甚或死亡,病死率为10%~70%,主要视诊治是否及时而异。因而提高HNDC的诊治水平具有重要临床意义。本文概述HNDC的诊断与治疗。
Hypertonic non-ketotic diabetic coma (HNDC) is an acute complication of diabetes caused by hypertonic conditions of blood and body fluids. It is generally believed that there is no direct relationship with ketosis, it is called HNDC. The clinical manifestations of HNDC complicated and easily misdiagnosed as a result of the deterioration of the disease or even death, the mortality rate was 10% to 70%, depending on whether the main diagnosis and treatment in time. Therefore, improving the diagnosis and treatment of HNDC has important clinical significance. This article provides an overview of HNDC diagnosis and treatment.