高渗性非酮症糖尿病昏迷的临床分析

Clinical analysis of 16 patients with hyperosmolar nonketotic diabetic coma

目的探讨高渗性非酮症糖尿病昏迷的临床特点和治疗措施。方法采用小剂量短效胰岛素持续静脉滴注和大量补液的方法，抢救16例高渗性非酮症糖尿病昏迷患者。结果16例患者14例抢救成功，2例死亡。结论高渗性非酮症糖尿病昏迷应早期正确诊断，尽早小剂量短效胰岛素持续静脉滴注和大量补液是抢救成功的关键。

Objective To explore the clinical characteristics and treatment of hyperosmolar nonketotic diabetic coma（HNDC）. Methods The clinical data of 16 patients with HNDC,who received low dosage of in-sulin and large amount of fluid infusion was analyzed. Results 14 cases were rescued successfully,2 cases died. Conclusion The key of rescuing patients with HNDC is to make a corect diagnosis early, the use of low dosage of insulin as early as possible and the fluid replacement.