管饲温开水抢救糖尿病高渗昏迷的临床研究

目的探讨管饲温开水对糖尿病高渗昏迷病人血糖、血钠及血浆有效渗透压的影响。方法管饲组采用双通道补液（管饲温开水与静脉补液）；对照组单纯静脉补液。结果管饲组22例中20例，对照组14例中7例血浆有效渗透压降至320mmol／L以下；管饲组治愈20例，死亡2例，对照组治愈6例，死亡8例。两组比较有显著性差异（P＜0．05）。结论管饲温开水是抢救糖尿病高渗昏迷的有效措施，能显著降低死亡率。

A CLINICAL STUDY ON GASTRIC INTUBATION OF WARM BOILED WATER IN THE TREATEMENT OF DIABETIC HYPEROSMOLAR COMA

Objective To observe the effect of gastric intubation of warm boiled wateron the blood glucose,blood sodium and effective plasmatic osmolarity in the treatment ofthe d1abetic hyperosmolar coma. Methods All cases were randomly divided into twogroups. The gastric intubation group were treated with gastric intubation of warm boiledwater and intravenous fluid replacement,and the control group only with intravenousfluld replacement. Results The effective plasmatic osmolarity of 20 in the 22 cases in thegastric intubation group was reduced to less than 320 mmol/L, while only 7 in the 14cases in the control group. 20 cases recovered and 2 cases died in the gastric intubationgroup. 6 cases recovered and 8 cases died in the control group. There were significantdifferences between the two groups (P<0.05). Conclusion Gastric intubation of warmboiled water in the treatrnent of diabetlcs' mellitus hyperosmolar coma can effctivelylower the mortality.