急性脑血管病并糖尿病非酮症高渗综合征9例临床分析  

Clinical analysis on 9 patients with acute cerebral vascular disease complicated with diabetic nonketotic hyperosmolar syndrome

作　　者：杨光[1] 陈树丹[1] 

机构地区：[1]广东省惠州市中心人民医院,广东惠州516001

出　　处：《现代中西医结合杂志》2005年第19期2520-2521,共2页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探讨急性脑血管病(ACVD)并糖尿病非酮症高渗综合征(DNHS)的临床表现及疗法。方法对我院1 405例ACVD中9例并发DNHS临床资料进行回顾性分析。结果ACVD并DNHS发病率为0.64%,病死率为44%。临床表现为脱水,呕吐,食欲不振,偏瘫加重,神志改变,血糖、血清尿素氮、血钠进行性升高。结论此病易导致多脏器功能受损,病死率极高,预后与血浆渗透压增高程度有关。早期诊断与治疗可减少病死率,治疗上以纠正高渗、降低血糖和消除诱因为主。Objective It is to discuss the clinical situation and treatment methods of acute cerebral vascular disease （ACVD） complicated with diabetic nonketotic hyperosmolar syndrome （DNHS）. Methods 9 patients complicated with NDHS in 1 405 patients with ACVD were retrospectively analyzed. Results The incidence rate of ACMD complicated with DNHS was 0.64% and the case fatality rate was 44%. The clinical situations are dehydration, vomit, inappetence, hemiplegia aggravation, mind change and blood glucose, serum urea nitrogen and blood sodium progressively heightened. Conclusion The disease can easily induce multiple organ dysfunctions. The case fatality rate is exceeding high. The prognosis is correlated with plasma osmotic pressure. The early diagnosis and treatment can decrease the case fatality rate. The treatment is mainly to correct high osmotic pressure, lower the blood glucose and eliminate inducement.

关 键 词：急性脑血管病 糖尿病 糖尿病非酮症高渗综合征 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R587.2[医药卫生—临床医学]