并发酮症酸中毒、高渗性昏迷者高于一般病者；
The erupts the ketosis acidosis, hyperosmolar higher than general disease;
目的：探讨重型颅脑外伤合并高渗性昏迷的治疗方法。
Objective:To study the therapeutic methods of severe craniocerebral trauma complicated with hypertonic coma.
目的探讨颅脑损伤并发非酮性高血糖高渗性昏迷病人的诊断、治疗及预后。
Objective To explore the diagnosis, treatment and prognosis of patients with brain injury accompanied by nonketotic hyperglycemic hyperosmotic coma.
高渗性昏迷治疗过程中应密切观察有无脑水肿的旱期症状，如头痛、恶心、呕吐等。
Whether there is in the hypertonia stupor course of treatment should observe the hydrocephalus dry time symptom closely, like headache, disgusting, vomit and so on.
方法测定单纯脑卒中组、并发高渗性昏迷组及正常人的血钠、COR、ALD水平的变化。
Methods serum natrium, plasma COR and ALD were measured in patients suffered from acute cerebral apoplexy with or without hyperosmolar coma and normal controls.
结果术后因高渗性非酮症昏迷死亡1例，切口感染4例，肺部感染2例，无一例发生低血糖昏迷。
Results 1 case died of hyperosmolar nonketotic coma. 4 cases encountered wound infection, 2 cases occurred pneumonia, and no case encountered postoperative hypoglycemic come.
结论高渗性非酮症糖尿病昏迷应早期正确诊断，尽早小剂量短效胰岛素持续静脉滴注和大量补液是抢救成功的关键。
Conclusions the key of rescuing patients with NKHDC is to make a correct diagnosis early, the use of low dosage of insulin as early as possible and the fluid replacement.
结论高渗性非酮症糖尿病昏迷应早期正确诊断，尽早小剂量短效胰岛素持续静脉滴注和大量补液是抢救成功的关键。
Conclusions the key of rescuing patients with NKHDC is to make a correct diagnosis early, the use of low dosage of insulin as early as possible and the fluid replacement.
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