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高渗性糖尿病昏迷,亦称非酮症性糖尿病昏迷,是糖尿病较少见的一种急性合并症,国内陆续已有报道,其死亡率可达40%或更高,予后远较酮症性糖尿病昏迷患者严重.我院曾诊治一例,报道如下. 病例报告患者××,男,19岁,住院号770229.于1977年1月25日上午9时入院,主诉为多饮多尿20余日,伴食欲不振,体力日衰,消瘦明显.四、五日来由于主动限制饮水而逐渐精神不振,呈嗜睡状态.曾呕吐二次,吐出所进饮食.既往无糖尿病史.入院检查患者神智萎靡,应答尚合理,呼吸平稳,唇干舌燥,眼窝深陷,
Hyperosmolar diabetic coma, also known as non-ketotic diabetic coma, is an acute complication of diabetes is less common, has been reported in succession, the mortality rate of up to 40% or more, to be much later than ketosis Patients with severe diabetic coma. Our hospital had a case of diagnosis and treatment, reported as follows .Cases reported patients × ×, male, 19 years old, hospital number 770229. On January 25, 1977 at 9 am admitted to hospital, the chief complaint of polyhydramnios more than 20 Day, with loss of appetite, physical decline, weight loss significantly .Fourth, on the 5th due to active restriction of drinking water and gradually lack of energy, was lethargy state .Vomit twice, spit out into the diet .No history of diabetes. Sluggish response is still reasonable, stable breathing, dry lips, deep orbital,