摘要
目的:探讨高渗高血糖非酮症昏迷(HHNC)病人的诊断和治疗。方法:报告6例病人的临床表现、诊断和治疗。结果:6例病人均痊愈出院。结论: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。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4种。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,取得较好的疗效。
Objective：To discuss the diagnosis and treatment of the hyperglycemic hyperosmolar nonketotic coma（HHNC）.Methods：The clinical manifestation,diagnosis and treatment result of 6 patients with HHNC were reported.Results ：The totally 6 Cases were successfully treated.Conclusion：From this study we suggest：（1）HHNC are caused by injury of hypothalamus and long term by using of dehydrant;（2）According to the blood concentrations of glucose and natriccm for treatment and prognosis we proposed four types：hyperglycemic,hypernatremic,hyperosmolar and common type;（3）CVP monitoring for volume of fluid infusion.The therapeutic effectiveness would be highly promoted.
出处
《中国伤残医学》
2010年第2期5-6,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
高渗性
高血糖性
非酮症
昏迷
Hyerosmolar
Hyperglycemic
Nonketotic
Coma
