急性梗塞性脑积水可因各种不同的原因所致,如:颅内出血、肿瘤、感染、局部缺血或外伤等,这些因素可以引发脑室系统脑脊液通路的迅速梗塞而致脑积水,但因血浆高渗透压所引起的脑积水未见报道。本文报告首例急性梗塞性脑积水合并非酮症高渗性糖尿病性昏迷(NKHC)的病例。其病因可能直接与脑水肿有关。 患者,男性,63岁。因意识障碍入院,患者曾有8年的糖尿病史,并一直接受饮食治疗。入院时检查:患者处于浅昏迷状,皮肤干燥,弹性缺乏,四肢 Acute obstructive hydrocephalus can be caused by a variety of causes, such as intracranial hemorrhage, tumor, infection, ischemia, or trauma, which can cause hydrocephalus due to rapid infarction of cerebrospinal fluid in the ventricular system Hydrocephalus due to high blood pressure caused by the plasma has not been reported. This article reports the first case of acute infarct hydrocephalus with nonketotic hyperosmolar diabetic coma (NKHC). The etiology may be directly related to brain edema. Patient, male, 63 years old. Admitted to the hospital because of disturbance of consciousness, the patient had a history of diabetes for 8 years and has been treated with diet. Check on admission: The patient is in a shallow coma, dry skin, lack of elasticity, limbs