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对40例糖尿病低血糖昏迷住院患者的临床资料进行回顾性分析。结果 36例患者经静脉注射葡萄糖数分钟至数小时后意识转清,症状逐渐缓解,2-6天痊愈出院,4例患者并发脑水肿,加用甘露醇和糖皮质激素后,意识渐转清,无死亡病例。结论低血糖昏迷患者的及时诊断、治疗是抢救成功的关键,平时应注重低血糖昏迷知识的宣教,加强预防措施。
The clinical data of 40 patients with diabetic hypoglycemic coma were retrospectively analyzed. Results 36 patients were intravenously injected with glucose for several minutes to several hours after consciousness was cleared, the symptoms gradually eased, 2-6 days cured and discharged, 4 patients complicated by cerebral edema, plus mannitol and glucocorticoid, consciousness gradually clear, No deaths. Conclusions The timely diagnosis and treatment of patients with hypoglycemic coma are the key to the success of the rescue. In the meantime, we should pay attention to the missionary knowledge of hypoglycemic coma and strengthen the preventive measures.