| 脑卒中并发糖尿病非酮症性高渗性昏迷的治疗及预后 |
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| 引用本文： | 李钢,余志强. 脑卒中并发糖尿病非酮症性高渗性昏迷的治疗及预后[J]. 中西医结合心脑血管病杂志, 2003, 1(5): 280-281 |
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| 作者姓名： | 李钢 余志强 |
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| 作者单位： | 上海市第八人民医院神经内科 |
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| 摘 要： | 目的：总结脑卒中并发糖尿病非酮症性高渗性昏迷(HNDC)的临床早期诊断及治疗经验。方法：对36例HNDC的病人临床资料进行总结分析。结果：36例HNDC的病人中，17例因为得到及时确诊，迅速补充液体，扩充血容量，最终抢救成功出院。有19例因认识疾病不足而死亡。结论：脑卒中病人如意识障碍加重，又有严重脱水症状与体征，应怀疑并发HNDC，应检查血糖、血钠及血浆渗透浓度，以便做出及时诊断和处理。
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| 关 键 词： | 脑卒中 并发症 糖尿病非酮症性高渗性昏迷 治疗 早期诊断 预后 |
| 文章编号： | 1672-1349(2003)05-0280-02 |
| 修稿时间： | 2003-04-01 |
Investigation of Stroke Complicated with Hyperosmotic Nonketonic Diabetic Coma (HNDC)and Its Prognosis |
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| Li Gang,Yu Zhiqiang//Eighth People''''s Hospital of Shanghai. Investigation of Stroke Complicated with Hyperosmotic Nonketonic Diabetic Coma (HNDC)and Its Prognosis[J]. Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease, 2003, 1(5): 280-281 |
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| Authors: | Li Gang Yu Zhiqiang//Eighth People''''s Hospital of Shanghai |
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| Affiliation: | Shanghai 200235 |
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| Abstract: | Objective: To study the clinical early diagnosis and therapy experience of stroke complicated with HNDC.Methods: To analyze and sum up the clinical 36 cases of patients with HNDC.Results: With timely confirmed diagnosis and rapid fluid infusion,in 17 of 36 cases of patients recovered and were discharged after dilated blood volume therapy and 19 cases of patients died of cognitive deficiency.Conclusion: HNDC ought to be suspected when unconsciousness got progressively worse and had severe symptom and physical sign of dehydration in patients with stroke.Blood sugar,blood natrium and plasma osmotic pressure ought to be checked so as to make a diagnosis and treatment in time. |
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| Keywords: | Stroke Hyperglycemia Plasma osmotic pressure Hyperosmotic coma Fluid infusion |
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