静点高营养引起高渗高血糖无酮体昏迷

• 作 者: 鲁泽清
• 出 处: 国外医学参考资料.外科学分册
• 发表日期: 1974年01期
• 关键词: 酮体 高血糖 胰腺炎 腹膜透析 血液透析 神经系统体征 胰岛素 苯妥英钠 免疫抑制剂 无糖尿

Sament等首次报导了高渗高血糖无酮体昏迷,此病最常见于糖尿病患者处于危急状态时,如胰腺炎或感染;烧伤;腹膜透析和血液透析;服用苯妥英钠;类固醇或免疫抑制剂治疗。高渗高血糖无酮体昏迷是静点高营养少见的合併症。静点高营养可能是引起此综合征的医原性原因,

For the first time, Sament et al reported hypertonic hyperglycemia without ketoconazole coma, most commonly found in patients with diabetes who are in critical conditions such as pancreatitis or infection, burns, peritoneal dialysis and hemodialysis, phenytoin sodium, steroids or immunosuppressive agents . Hypertonic hyperglycemia without ketone body coma is a rare high point of nutrition complications. Quiet point of high nutrition may be the cause of this syndrome, the original cause of the disease,