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高血糖高渗性非酮症综合征(NHDC)是脑卒中的严重并发症之一,若不及时诊断延误治疗,病死率极高。1994年6月到2002年4月,我院收治NHDC患者21例。现分析如下。 临床资料:本文脑卒中并发NHDC患者21例,男14例,女7例;年龄53～82,平均(66±4.2)岁。脑出血13例,脑梗死8例。既往均无明确的糖尿病史。发病时均有不同程度的意识障碍,治疗中用20％甘露醇21例,10％高渗葡萄糖液21例,速尿10例。并发NHCD时间于开始治疗后2～8天,平均4.5天。患者脑卒中原有症状加重并出现不同程度的意识障碍或原有意识障碍加重,其中反应迟钝、嗜睡9例,昏睡6例,昏迷6例。血压偏低7例,明显脱水8例,轻、中度脱水13例,呼吸
Hyperglycemia hypertonic non-ketosis syndrome (NHDC) is one of the serious complications of stroke, without timely diagnosis of delayed treatment, mortality is extremely high. June 1994 to April 2002, our hospital admitted 21 patients with NHDC. Analysis is as follows. Clinical data: In this paper, 21 cases of stroke with NHDC patients, 14 males and 7 females; aged 53 to 82, with an average (66 ± 4.2) years. 13 cases of cerebral hemorrhage, cerebral infarction in 8 cases. No previous history of a definite diabetes. There are different degrees of disturbance of consciousness in onset, treatment with 20% mannitol in 21 cases, 10% hypertonic glucose solution in 21 cases, furosemide in 10 cases. Concurrent NHCD time 2 to 8 days after the start of treatment, an average of 4.5 days. In patients with stroke, the original symptoms aggravated and some degree of disturbance of consciousness or original disturbance of consciousness increased, including unresponsiveness, drowsiness in 9 cases, lethargy in 6 cases and coma in 6 cases. Low blood pressure in 7 cases, significant dehydration in 8 cases, mild dehydration in 13 cases, breathing