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临床工作中,经常遇到一些急性起病伴意识障碍的病人,因为神志不清,病史采集不满意,或表面症象较为复杂,以致延误诊断。现将近二年来我院所见的二例高渗性非酮症糖尿病昏迷的误诊报导如下:例一:女,51岁,已婚家庭妇女。81年6月22日晚12点以昏迷37小时住院。患者于入院前一天早起,初为神志淡漠、懒言,约中午时分呼之不应,有短阵手足抽动伴全身发热,在外诊治无效,昏睡不醒于22日上午到门诊就医。查体,发育可,肥胖体型,昏迷状态,体温39．3℃,血压测不到,心界稍大,心率120/分,律齐,心音较弱,呼吸48次/分,其余肺与腹部无异常,神经系检查巴彬斯基征(+)。查红细胞
Clinical work, often encounter some patients with acute onset of disturbance of consciousness, because of delirious, history is not satisfied with the collection, or more complex surface symptoms, resulting in delayed diagnosis. Now in the past two years in our hospital seen two cases of hypertonic nonketotic diabetic coma misdiagnosis reported as follows: Example 1: Female, 51 years old, married family women. June 22, 2001 at 12 o’clock in a coma 37 hours hospitalization. Patients get up early on the day before admission, initially indifferent, lazy, about noon call, short hand-foot twitch with fever, out-patient treatment is invalid, sleeping in the morning on the 22nd to the clinic for medical treatment. Physical examination, development, obesity, coma, body temperature 39.3 ℃, blood pressure can not be measured, heart slightly larger, heart rate 120 / min, law Qi, weak heart sounds, breathing 48 beats / No abnormalities, nervous system check Babinski sign (+). Check red blood cells