高渗性非酮症糖尿病昏迷23例的

目的探讨高渗性非酮症糖尿病昏迷的临床特点和诊治体会。方法采用回顾性调查研究,对23例高渗性非酮症糖尿病昏迷病人的临床资料进行分析。结果高渗性非酮症糖尿病昏迷病人老年人占69.6%,临床好转13例,死亡8例自动放弃2例,病死率34.8%,首诊误诊率47.9%,感染占诱因的60.9%。结论高渗性非酮症糖尿病昏迷好发于老年人,极易误诊,病死率高,早期诊断,及早纠正脱水及水电解质紊乱,积极治疗诱因和并发症是抢救成功的关键。

The Clinical Analysis of 23 Patients of Hyperosmolar Nonketotic Diabetic Coma

Objective Investigate the clinical characteristics of hyperosmolar nonketotic diabetic coma,and to summarize the experience of the diagnosis and treatment of that.Methods Retrospective study was used to analyze the 23 patients of our hospital of hyperosmolar nonketotic diabetic coma.Results The aged patients occupied 69.6%.13 patients got clinical improvement,8 patients died,and 2 patients withdrew from the trial.Mortality rate is 34.8%,the first misdiagnosis rate is 47.9 %,and infection occupied 60.9% of the predisposing factors.Conclusion The hyperosmolar nonketotic diabetic coma was easily occurred in the aged people,and the rate of misdiagnosis and mortality of that is high.The focal points of the rescue of the patients of hyperosmolar nonketotic diabetic coma include early diagnosis,rectification of the water and electrolyte disturbance,and active treatment of the predisposing factors and complication.