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昏迷是糖友最凶险的急症之一,对神经系统的影响尤为严重,一旦抢救不及时,昏迷时间过久(超过6小时),便会造成脑组织不可逆的损伤,甚至死亡。导致糖友昏迷的原因有很多,大致可分为糖尿病相关性昏迷(如低血糖昏迷、酮症酸中毒昏迷、高渗性昏迷等)和由合并症引起的昏迷(如脑卒中等)。昏迷的病因不同,其救治手段也不一样。因此,对于昏迷的糖尿病患者,一定要先辨明病因,再实施抢救。
Coma is one of the most dangerous emergency of sugar friends, the impact on the nervous system is particularly serious, once the rescue is not timely, coma for too long (more than 6 hours), it will cause irreversible damage to brain tissue, and even death. There are many reasons that lead to diabetic coma. There are many reasons that can be divided into diabetic related coma (hypoglycemic coma, ketoacidosis coma, hyperosmolar coma, etc.) and coma caused by comorbidities (such as stroke). The cause of coma is different, its treatment is not the same. Therefore, for patients with coma diabetes, we must first identify the cause, and then implement the rescue.