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甘油能降低脑压,用于治疗脑水肿,屡见文献报导,但在治疗时仍有潜在的危险。本文报导甘油治疗二例脑水肿患者出现无酮症性高渗高血糖症而死亡。例一:男性,66岁,非糖尿病患者,因禁酒后嗜睡、幻视而住院。检查除轻度血液浓缩、血糖轻度增加、脑电图显示代谢中毒性脑病外,其他各项均正常。入院第5天,出现脑膜征,瞳孔不等大,右侧中枢性面瘫和轻度偏瘫,伴有全身抽搐等。脑脊液无色、清亮、压力230毫米、蛋白质117毫克%、糖90毫克%(血糖215毫克%);脑血管造影显示循环时间增加。两日后病人发热、昏迷、四肢轻瘫、右
Glycerol can reduce brain pressure, used to treat cerebral edema, often reported in the literature, but there are still potential dangers in the treatment. This article reports the death of two patients with hydrocephalus treated with glycerol in the presence of ketosis-free hypertonic hyperglycemia. Example 1: Male, 66 years old, non-diabetic, hospitalized for lethargy, visual hallucination after alcohol prohibition. Check except for mild blood concentration, mild increase in blood glucose, electroencephalogram metabolic metabolic encephalopathy, everything else is normal. Admission on the 5th day, there Meningin, pupil ranging from large, right facial paralysis and mild hemiplegia, accompanied by systemic convulsions. Cerebrospinal fluid was colorless, clear, pressure 230 mm, protein 117 mg%, sugar 90 mg% (blood sugar 215 mg%); cerebral angiography showed increased cycle time. Two days after the patient fever, coma, limbs paresis, right