高渗性非酮症糖尿病昏迷,系糖尿病的急性严重合并症。多发生于老年人,于1886年Dreshfeld 首次描述。至1957年Sament 及Schwartz 报道病例后,方引起临床重视。国内于1973年首都医院报道后,相继报道增多。有资料分析其发生率占糖尿病住院病人的4%,占糖尿病昏迷的15.5%。但因发病前多无糖尿病病史,临床表现又常与其它老年人疾病相混淆,易造成误诊或漏诊,以致延误治疗导致死亡。为了提高对本症的认识,现对本症综述如下。 Hyperosmolar nonketotic diabetic coma, Department of Diabetes acute serious complications. Occurred in the elderly, Dreshfeld first described in 1886. By 1957 Sament and Schwartz reported cases, the side caused clinical attention. Domestic reports in the Capital Hospital in 1973, have reported an increase. Data analysis of the incidence of diabetes accounted for 4% of hospitalized patients, accounting for 15.5% of diabetic coma. However, before the onset of more than a history of diabetes, clinical manifestations often confused with other elderly diseases, easily lead to misdiagnosis or missed diagnosis, resulting in delay in treatment led to death. In order to improve the understanding of this disease, are summarized below the disease.