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高渗性非酮症糖尿病昏迷(HNDC),在临床上并不少见。HNDC可继发于各种严重病症,易被原发病掩盖而误诊、漏诊。不少HNDC病例合并多器官功能衰竭,病死率可高达30％～100％。现将我院12例老年人HNDC的临床资料扼要报告如下: 一、一般资料:本组12例(男8,女4),年龄60～80岁,平均67.8岁。7例发病前无糖尿病史;5例有非胰岛素依赖型糖尿病史,但没服降糖药物。诱因:感染7例(肺部感染4例,下肢丹毒1例,泌尿系感染2例);消化道出血2例;用泼尼松、输高渗葡萄糖后,心肌梗塞各1例。
Hyperosmolar nonketotic diabetic coma (HNDC), is not uncommon in the clinical. HNDC can be secondary to a variety of serious illness, easily covered by the original disease misdiagnosis, missed diagnosis. Many cases of HNDC combined with multiple organ failure, mortality can be as high as 30% to 100%. Now in our hospital 12 cases of elderly HNDC clinical data summarized as follows: First, the general information: The group of 12 patients (male 8, female 4), aged 60 to 80 years, mean 67.8 years. 7 patients had no history of diabetes before onset; 5 patients had a history of non-insulin-dependent diabetes, but did not take hypoglycemic drugs. Incentives: 7 cases of infection (pulmonary infection in 4 cases, lower extremity erysipelas in 1 case, urinary tract infection in 2 cases); 2 cases of gastrointestinal bleeding; with prednisone, transfusion of hypertonic glucose, myocardial infarction in 1 case.