经消化道补液抢救高渗性非酮症糖尿病昏迷12例体会

Experience of Rescue 12 Cases of Hyperosmolar Nonketotic Diabetic Coma by Digestive Fluid Infusion

目的:探讨患心、脑、肾疾病中老年人高渗性非酮症糖尿病昏迷(HNKDC)的抢救方法.方法:消化道与静脉同时补液.经消化道补冷开水占输入液体量的1/3左右,补液速度为100～200ml/h;以静脉补液占日输液量的2/3左右.结果:12例HNKDC病人,抢救成功9例,死亡2例,放弃治疗出院1例,死亡率22.2%.结论:经消化道与静脉同时补液,是抢救患有心、脑、肾疾病合并HNKDC的一种好方法.

Objective： To investigate the methods of rescue hyperosmolar nonketotic diabetic coma（HNKDC） in wrinkly with heart, brain, kidney disease. Methods： Fluid infusion through gastrointestinal tract and vein at the same time. Supplied the cold cooked water through digestive tract, which accounting for 1/3 of fluid infusion volume, and infusion rate was 100 - 200ml/h, The volume of intravenous infusion fluid accounts for 2/3. Results： In 12 cases of HNKDC patients, 9 cases were successfully rescued, 2 patients died, 1 case gived up treatment and discharged, the mortality rate was 22.2%. Conclusion： The digestive tract and intravenous fluid infusion at the same time is a good way to rescue wrinkly with heart, brain, kidney disease complicated with hyperosmolar nonketotic diabetic coma.