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Home > West Medicine > Internal Medicine > Endocrinology
百科

Hyperosmolar nonketotic diabetic coma

内分泌科

Common symptoms

昏迷、血压下降、嗜睡、烦渴多饮、多饮、意识障碍、呼吸中可有烂苹果味、脱水、多尿、糖尿

The pathology of disease

Hyperosmolar nonketotic diabetic coma (HHS) is severe hyperglycemia hyperosmolarity in type 2 DM; dehydration/altered mental status; no ketosis.

Common Symptoms

Severe dehydration; altered mental status; seizures; focal deficits; hyperglycemia >600 mg/dL; high osmolality

Causes

Uncontrolled type 2 diabetes; infection; stress; noncompliance.

Treatment

IV fluids; insulin; electrolyte replacement; treat trigger

Prevention

Diabetes control; hydration.

Recommended Department

It is recommended to visit the endocrinology department; before the visit you may first book an appointment and connect with experts through this platform.

Warm reminder: The above information is provided for health education reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek care at a regular hospital in time.