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林文森 周劍文 楊純宜 陳素榆 沈 ... - tsim.org.tw

1 .. 1 .. ( hyperglycemic hyperosmolar state HHS ) . HHS . 2002 1 2004 4 HHS 75 76 HHS . 47 29 24 93 . HHS ( ) . ( ) ( ) ( Glasgow coma scale GCS) 3. 8 11 . Glasgow HHS .. ( Hyperglycemic hyperosmolar state ). (Precipitating factor ). ( Glasgow coma scale ). Clinical Analysis of Hyperglycemic Hyperosmolar State Wen-Sen Lin, Chien-Wen Chou, Chwen-Yi Yang, Su-Yu Chen, Sjen-Jung Shen1, and Hon-Mei Cheng . ( hyperglycemic hyperosmolar state, HHS ) . ( diabetic ketoacidosis, DKA ) .. 10 50% 1-6 ( HHS ) . (hyperglycemic hyperosmolar nonketotic coma, HHNK ) . 1-3 ( American Diabetes Association, ADA ) 2001 . 7-8 . 1980 90 9-11 . ADA 2002 1 2004 4 HHS . HHS .. 2002 1 2004 4 . ( ICD ) 392 76 . HHS ( ) 600 mg/ dL ( ) ( . 2Na + glucose/ 18 ) 320 mOsm/ kg H2O ( ) . ( nitroprusside reaction ) . 15 mEq/ L . ( bedridden ). ( precipitating factor ).

臨床表現,相關生化檢查及其預後的關係,希望能提供國內hhs 的相關資料以供參考。 材料及方法 本研究採用回顧性分析奇美醫院2002 年1 月至2004 年4 月間所有的住院患者,出院診斷為

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Transcription of 林文森 周劍文 楊純宜 陳素榆 沈 ... - tsim.org.tw