| 神经外科高渗高血糖非酮症性昏迷的临床研究 |
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| 引用本文： | 赵经郊,孙敬熙,黄崇熙,唐祖諟,刘洋,张兵,孙淼.神经外科高渗高血糖非酮症性昏迷的临床研究[J].青岛医药卫生,1995(1). |
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| 作者姓名： | 赵经郊 孙敬熙 黄崇熙 唐祖諟 刘洋 张兵 孙淼 |
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| 作者单位： | 青岛市立医院 266011
(赵经郊，孙敬熙，黄崇熙，唐祖諟，刘洋，张兵)，青岛市立医院 266011(孙淼) |
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| 摘 要： | 对12例HHNC病人进行临床研究,认为神经外科病人并发HHNC,主要是丘脑下部损害和较长时间大量脱水剂使用引起的,不同于糖尿病引起的HNDC。根据血糖、血清钠增高情况分为高糖型、高钠型、高糖高钠型和普通型四种临床类型,提出在中心静脉压(CVP)监测下按上述分型确定合理的治疗计划,取得了较好的疗效。8例病人纠正了高渗状态。已有5例痊愈出院。并对诊断、治疗和预防等有关问题进行了研究。
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| 关 键 词： | 高渗 昏迷 临床分型 中心静脉压 |
The Clinic Study of Hyperglycermic Hyperosmolar Nonketotic Coma(HHNC) in Neurosurgery |
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| Zhao Jlng Jiao.Sun Jing XI,Huang Chong Xi.Tong Zu Shi,LIU Yang,Zhang Bing.Sun Mlao.Qingdao Munkpal Hospital.The Clinic Study of Hyperglycermic Hyperosmolar Nonketotic Coma(HHNC) in Neurosurgery[J].QINGDAO Medical Journal,1995(1). |
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| Authors: | Zhao Jlng JiaoSun Jing XI Huang Chong XiTong Zu Shi LIU Yang Zhang BingSun MlaoQingdao Munkpal Hospital |
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| Institution: | Zhao Jlng Jiao.Sun Jing XI,Huang Chong Xi.Tong Zu Shi,LIU Yang,Zhang Bing.Sun Mlao.Qingdao Munkpal Hospital 266011 |
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| Abstract: | The clinic study in 12 HHNC patients considered that, HHNC In neurosurgery mainly concerned with injury of hypothalamus and long time use of dehydrant is different from HHDC caused by diabetes mellititus Four type: hyperglycermle, hypernatronemlc, hyperosmolar andcommon type were categorized according to the blood concentration of glucose and natrium. The therapeutic effectiveness were highly promoted by using CVP to monitor patient's condition and clinic types to direct kinds of treatment properly. 5 cases were recovered and discharged out of the 8 totally succesaful cured cases. The treatment,diagnosis,prevention and other relevant questions have aho been studied. |
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| Keywords: | hyperosmolar com dlnfe types CVP |
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