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脑梗塞并高渗性非酮症糖尿病昏迷(高渗性昏迷)临床症状重,病死率高,易误诊为脑出血,造成误诊、误治.以下将脑梗塞并高渗性昏迷患者12例分析如下:1 临床资料1.1 一般资料 性别:男8例,女4例,年龄58～76岁,平均64岁.病例:12例均经CT诊断为脑梗塞,右侧基底节脑梗塞2例,左侧基底节脑梗塞4例,多发性脑梗塞6例,糖尿病史者8例.1.2 发生昏迷的时间与原因 发病48～60h昏迷2例,65～80h后昏迷7例,4天以后昏迷3例,其中高渗葡萄糖补液6例(每日补充葡萄糖均为200g以上),甘露醇与地塞米松治疗4例,呕吐、腹泻、失水并肺部感染2例.
Cerebral infarction and hypertonic nonketotic diabetic coma (hyperosmolar coma) clinical symptoms, high mortality, easily misdiagnosed as cerebral hemorrhage, resulting in misdiagnosis, mistreatment. The following will be cerebral infarction and hypertonic coma in 12 patients Are as follows: 1 Clinical data 1.1 General information Sex: 8 males and 4 females, aged 58 to 76 years, mean 64 years.Patients: 12 cases were diagnosed as cerebral infarction by CT, right basal ganglia infarction in 2 cases, left Lateral basal ganglia infarction in 4 cases, multiple cerebral infarction in 6 cases, history of diabetes in 8 cases .1.2 coma occurred in time and causes of onset of 48 ~ 60h coma in 2 cases, 65 ~ 80h after coma in 7 cases, 4 days after coma in 3 cases , Of which 6 cases of hypertonic glucose rehydration (daily glucose were more than 200g), mannitol and dexamethasone in 4 cases, vomiting, diarrhea, dehydration and pulmonary infection in 2 cases.