糖尿病高渗性非酮症昏迷(HNKDC)多见于老年患者,好发年龄为50～70岁,多数病例发病前无糖尿病史或仅有轻度症状。发病诱因有多种且情况各异,本组病例均为脑血管病后行脱水治疗诱发,现就此种情况探讨如下。临床资料1 对象 5例患者男2例,女3例。年龄56～68岁,平均62岁,其中仅1例有糖尿病史。原发病均为脑血管病,其中脑出血3例,蛛网膜下腔出血1例,脑梗塞伴 Hyperosmolar nonketotic diabetic coma (HNKDC) more common in elderly patients, the prevalence of 50 to 70 years of age, the majority of cases before onset without diabetes or only mild symptoms. There are many causes and incidence of various causes, this group of patients were induced after dehydration therapy of cerebrovascular disease, the situation is discussed below. Clinical data 1 object 5 patients, 2 males and 3 females. Aged 56 to 68 years old, average 62 years old, of which only 1 case had a history of diabetes. Primary disease are cerebrovascular disease, including cerebral hemorrhage in 3 cases, 1 case of subarachnoid hemorrhage, cerebral infarction with