重症颅脑创伤术后高渗高血糖非酮症性昏迷的临床抢救

应激，颅脑创伤和手术直接损伤丘脑下部致丘脑下部功能障碍，渗透压调节失常，出现高渗高血糖非酮症性昏迷（ＨＨＮＣ）。临床对该病认识不足，术后监测不利，治疗不当是引起ＨＨＮＣ的主要原因。我室对１３例重症颅脑创伤术后合并ＨＨＮＣ的患者严密监测血糖、尿糖、电解质、血浆渗透压及保持出入量平衡，在中心静脉压（ＣＶＰ）监测下合理制定治疗方案，取得了较好的临床疗效。

CLINICAL EMERGENCY TREATMENT OF HYPEROSMOLAR AND HYPERGLYCEMIA NONKETOTIC DIABETIC COMA IN POSTOPERATIVE SEVERE CRANIOCEREBRAL TRAUMA

This paper discussed the cllnical cmergcncy treatmcnt of hyperosmolar and hyperglycemia nonketotic diabetic coma (HHNC) in 13 cases of postoperativo sevcre craniocerehral trauma. the results of concertcd treatment showed that the hyperosmolar had been corrected, Infiltratic pressure of blood was lower than 320mmol/L,The Na fconccntration of blood was lower than 150mmol/L,the sugar concentration of blood was lower than 11. 1mmol/L. The main cause which leaded to HHNC was lack of knowledge of this diseasc. It is important to keep watch on the sugar concentration in blood and urine,electrolyte,infiltratic pressure and import and export liquid. A good effect had been obtained by suitable treatment planning under central vein pressure which had been kept watch on