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现将我们在1977～1979年诊断三例高渗性高血糖昏迷中的教训总结如下。一、临床资料(见右表)二、教训例1因胃肠道症状突出,而掩盖了高渗性糖尿病昏迷的实质,曾误诊为胆道感染。例2以精神失常、反复抽风而发病,曾误诊为癫痫尿毒症。例3以昏迷休克入院,休克期间多尿,疑糖尿病,但因尿糖只一个(+)号,而受到干扰,未检血糖,因而长时间漏掉高渗性糖尿病昏迷的诊断。
Here is a summary of the lessons we learned from three cases of hypertonic hyperglycemic coma from 1977 to 1979. First, the clinical data (see the table on the right) Second, lessons Example 1 due to prominent symptoms of gastrointestinal tract, and cover up the essence of hypertonic diabetic coma, had been misdiagnosed as biliary tract infection. Example 2 to mental disorders, recurrent episodes of ventilation, had misdiagnosed as epilepsy uremia. Example 3 admitted to a coma shock, during the urine polyuria, suspected diabetes, but only one (+) of urine sugar, and was disturbed, did not check blood sugar, which for a long time missed the diagnosis of hypertonic diabetic coma.