【上期回顾】老年女性,因发热伴意识不清8 h入院。有脑血管病史、糖尿病史多年。10d前曾出现发热、意识不清,当地医院住院时诊断考虑甲状腺功能亢进症(甲亢)。本次入院突出表现为高热、心动过速、意识不清,头颅CT检查排除新发梗死、出血病灶,实验室检查提示高血糖,高血纳,高渗状态。 [Previous review] elderly women, admitted to hospital due to fever with unconsciousness 8 h. History of cerebrovascular disease, history of diabetes for many years. 10d before fever, unconsciousness, local hospital diagnosis of hyperthyroidism (hyperthyroidism). The admission was highlighted as fever, tachycardia, confusion, head CT exclusion of new infarcts, bleeding lesions, laboratory tests suggest hyperglycemia, high blood sodium, hyperosmolar state.