治疗糖尿病酮症酸中毒时出现颅内压增高并不常见,但可引起或使意识障碍延长。用尿素、甘露醇、糖皮质激素或地塞米松治疗一般是无效的。作者报导1例应用地塞米松后得到了恢复。患者男性,40岁,用胰岛素维持治疗已14年。因呕吐和进行性嗜睡48小时入院。4年来有中度肾脏损害、高血压及明显增殖性视网膜炎。入院时呈深昏迷、过度换气和脱水。无局灶性神经系体征,视乳头 Increased intracranial pressure when treating diabetic ketoacidosis is uncommon but can cause or prolong unconsciousness. Treatment with urea, mannitol, glucocorticoids, or dexamethasone is generally ineffective. The authors reported that one patient recovered after dexamethasone. Male patient, 40 years old, has been treated with insulin for 14 years. Due to vomiting and progressive drowsiness 48 hours admission. 4 years have moderate renal damage, high blood pressure and proliferative retinitis. When admitted to a deep coma, hyperventilation and dehydration. No focal neurological signs, depending on the nipple