老年人急性脑血管病并发非酮症高渗性昏迷临床分析

Clinical Analysis of Senile Acute Cerebral Vascular Disease Complicated with Non-Ketone High Osmosis Coma

目的 探讨老年急性脑血管病并发非酮病高渗性昏迷的临床特点和治疗方法 ,提高对此病的认识。 方法 回顾我院 1997～ 2 0 0 2年来确诊的ACVD并发NKHDC患者的临床资料 ,并做统计分析。 结果 ACVD并发NKHDC死亡率极高。合并NKHDC的时间多在治疗 1～ 6天 ,意识程度与血糖、血浆渗透压的水平成正相关。 结论 早期诊断、治疗可降低ACVD合并NKHDC死亡率 ,血糖、血钠。

Objective to explore the clinical characteristics and treatment methods of acute cevebral vascular diseaese(ACVD) complicated with non-Ketone high osmosis coma.Methods retrospectively analyze the data of patients diagnosed as ACVD with NKHPC from 1997-2002.Results the mortality of ACVD complicated with NKHDC is very high,the time with complication of NKHDC is usually 1-6 days after treatment.The consciousness degree is in positive relation with blood sugar, plasma osmosis pressure.Conclusion the early diagnosis and treatment can decrease the mortality of ACVD complicated with NKHDC.Blood sugar, Na +,plasma osmosis pressure can be a important index for diagnosis and prognosis.