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高渗性糖尿病昏迷是血和体液高渗状态引起的严重并发症,多见于老年人糖尿病无酮症患者。因多数无糖尿病史,临床表现复杂多变,易被诱发病和基础病掩盖而误诊,死亡率高。我院近几年来住院糖尿病病人451例,其中并发高渗性昏迷14例,多属误诊或延迟诊断。现将临床所见及误诊情况进行分析,以吸取经验教训。一、临床资料 (一)发病情况:住院糖尿病451例,并发高渗性昏迷14例占3.1％,其中2例为混合型糖尿病昏迷。年龄41～82岁。男6例,女8
Hyperosmolar diabetic coma is a serious complication of blood and hypertonic conditions, more common in elderly patients with diabetic ketoacidosis. Due to the history of most non-diabetic patients, the clinical manifestations are complicated and changeable, which are easily misdiagnosed with the induced diseases and the underlying diseases and have a high mortality rate. 451 cases of hospitalized diabetic patients in our hospital in recent years, including 14 cases of hypertonic coma, mostly misdiagnosed or delayed diagnosis. Now see the clinical findings and misdiagnosis of the situation in order to learn from experience and lessons learned. First, the clinical data (A) the incidence of: 451 cases of hospitalized diabetes, complicated by hyperosmolar coma 14 cases accounted for 3.1%, of which 2 were mixed diabetic coma. Age 41 ~ 82 years old. 6 males and 8 females