| 重型颅脑损伤并发非酮症高渗性糖尿病昏迷33例救治分析 |
| |
| 引用本文： | 廖圣芳,王汉东,陈汉民,王玉差. 重型颅脑损伤并发非酮症高渗性糖尿病昏迷33例救治分析[J]. 临床军医杂志, 2008, 36(3) |
| |
| 作者姓名： | 廖圣芳 王汉东 陈汉民 王玉差 |
| |
| 作者单位： | 解放军第180医院,神经外科,福建,泉州,362000;解放军南京军区南京总医院,神经外科,江苏,南京,210002 |
| |
| 摘 要： | 目的探讨重型颅脑损伤并发非酮症高渗性糖尿病昏迷的危险因素及其治疗方法。方法以重型颅脑损伤患者并发非酮症高渗性糖尿病昏迷33例为研究对象,对其发生时间,危险因素及其治疗等临床资料进行统计分析。结果伤后半年时根据GOS分级标准:恢复良好9例;中残5例;重残3例;植物生存1例;死亡15例。表明该并发症死亡率高(本组为45.45%)。结论本病主要是丘脑下部损害和较长时间大剂量脱水药物使用引起。救治的关键是及早发现并尽快抢救休克、纠正脱水、纠正高渗状态,注意控制血糖是治疗关键,静滴胰岛素极其有效。
|
| 关 键 词： | 脑损伤 非酮症高渗性 糖尿病昏迷 治疗 |
Nonketonic Hyperosmotic Diabetic Coma Secondary to Severe Cerebral Trauma:An Analysis on Emergency Care for 33 Cases |
| |
| Liao Sheng-fang,Wang Han-dong,Chen Han-min,Wang Yu-chai. Nonketonic Hyperosmotic Diabetic Coma Secondary to Severe Cerebral Trauma:An Analysis on Emergency Care for 33 Cases[J]. Clinical Journal of Medical Officer, 2008, 36(3) |
| |
| Authors: | Liao Sheng-fang Wang Han-dong Chen Han-min Wang Yu-chai |
| |
| Affiliation: | Liao Sheng-fang1,Wang Han-dong2,Chen Han-min1,Wang Yu-chai1(1.Department of Neurosurgery,PLA No.180 Hospital,Quanzhou 362000,China,2.Department of Neurosurgery,Nanjing General Hospital of Nanjing Military Region,PLA,Nanjing 210002,China) |
| |
| Abstract: | Objective To study the risk factors of nonketonic hyperosmotic diabetic coma(NHDC) secondary to severe cerebral trauma,as well as its therapeutic methods.Methods A total of 33 cases of NHDC secondary to severe cerebral trauma were enrolled into the study.The clinical data about its risk factors and emergency care were analyzed.Results After half an year,there were nine cases with good recovery,five with medium disability,three with severe disability,and one with vegetative survival according to GOS classifi... |
| |
| Keywords: | cerebral injury nonketonic hyperosmotic diabetic coma risk factor therapy |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
