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高渗、高血糖非酮性昏迷(HHNKC)是糖尿病的急性严重并发症之一。好发于老年人,病死率40％～70％。由于有些病人发病前无糖尿病病史,尿酮体可呈阳性,故常导致误诊。我院1968年11月～1991年3月共收治HHNKC患者11例,其中8例死亡。本文对其死亡原因及从中应吸取的经验教训总结如下。1 临床资料1.1 一般资料.11例中男4女7,年龄6.5～80岁,其中50岁以上者6例。
Hypertonic, hyperglycemic non-ketotic coma (HHNKC) is one of the acute serious complications of diabetes. Occur in the elderly, case fatality rate of 40% to 70%. Because some patients have a history of no diabetes before onset, urinary ketone bodies may be positive and often lead to misdiagnosis. In our hospital from November 1968 to March 1991, a total of 11 patients with HHNKC were admitted, of whom 8 died. This article summarizes the causes of death and the lessons learned from it. 1 Clinical data 1.1 General information .11 cases of 4 males and 7 females, aged 6.5 to 80 years, of whom 6 were over 50 years of age.