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颅脑损伤合并高渗高血糖非酮症性昏迷的诊治
引用本文:梁鄂,林炳锵,张锡增. 颅脑损伤合并高渗高血糖非酮症性昏迷的诊治[J]. 中国伤残医学, 2001, 9(3): 22-24
作者姓名:梁鄂  林炳锵  张锡增
作者单位:1. 建瓯市立医院神经外科
2. 南京军区福州总医院神经外科
摘    要:目的总结颅脑损伤患者合并高渗高血糖非酮症性昏迷的诊治经验.方法回顾分析11例颅脑损伤合并出现高渗、高血糖非酮症性昏迷的诊断及治疗经过.结果6例病人纠正了高渗状态,其中恢复正常生活、工作2例,生活自理3例,长期昏迷1例.死于高渗生休克5例.结论注意防止颅脑损伤所致的高渗高血糖非酮症性昏迷是降低死亡率和病死率的重要环节之一.

关 键 词:脑损伤 高渗高血糖 非酮症 昏迷
修稿时间:2001-06-20

Diagnosis and Treatment of Hyperosmolar Hyperglycemia Nonketotic Coma in Head-injured Patients
Abstract:Objective: To summarize the therapeutic experience of hyperosmolar hypergly-cemia nonketotic coma (HHNC) in head-injured patients. Methods: 11 head-injured patients with HHNC who admitted to our department from June 1990 to Nov. 2000 were analyzed retrospectively. Results: 6 cases survived in which 5 cases had a good or moderate recovery. 1 case was living as persistent vegetativestate (PVS). 5 cases died for hyperosmolar shock. Conclusion: It might be very important to pay moreattention to protect HHNC in head-injured patients that could diminish mortality and cut down thedisability rate.
Keywords:Head injury Hyperosmolar hyperglycemia nonketotic coma
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