25岁女每日喝1种饮品 昏迷入院险洗肾丧命 出现8症状要小心
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血糖过高但没及时察觉,可能有致命风险。有医生分享病例指,一名25岁女子每日饮1种饮品,某日却突然昏迷被送院治疗。医生指,该女子因血糖过高,患上“高渗透压高血糖症”,几乎需要一世洗肾,甚至有生命危险。据香港医管局资料,如果出现8种症状,则可能代表血糖过高,已患上糖尿病。
25岁女每日喝1种饮品 昏迷入院险洗肾丧命
台湾卫生福利部桃园医院深切治疗部医生林昕纬分享病例指,一名25岁王姓女子长期喝含糖饮品代替清水,每日至少喝2至3杯手摇饮品,某日突然在家中昏迷晕倒,送院后发现她有严重脱水情况,需要即时插喉以维持生命。
林昕纬医生表示,该女子经常饮用含糖饮品,早已因为血糖过高而患上糖尿病,但她仍不自知,因此未有控制血糖,结果因为长期血糖过高引发“高渗透压高血糖症”,导致突然昏迷。
血糖值多高等于患糖尿病?
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为何血糖过高要洗肾?会休克死亡?有何征兆?
林昕纬医生解释指,因为血糖过高导致的“高渗透压状态”,过程通常较为缓慢而且不易被察觉。往往只有病人出现失去意识、昏迷等严重症状时,被送院后才能发现。如果未有及时治疗,可能会导致昏迷、需要洗肾,甚至休克及死亡。
根据美国糖尿病协会资料,“高血糖高渗透压状态”(Hyperglycemic Hyperosmolar State,HHS)是第二型糖尿病患者的高血糖急症中最严重的一种,一旦处于此状态,体内的高血糖会令血浆渗透压升高,引起渗透性的利尿作用,导致脱水、意识变差、甚至昏迷和休克。
什么是“高血糖高渗透压状态”?
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高血糖高渗透压状态4大特征
- 严重高血糖,血糖大于600mg/dl
- 高渗透压大于 320mOsm/kg
- 极度脱水
- 无明显酮酸中毒
经常口渴是糖尿病先兆?出现8症状高危
在香港,每10个人就有1个患糖尿病。据香港医管局资料,糖尿病患者最初较常出现以下8大症状,例如容易口渴、小便变多,尤其是本身有血糖异常问题的人士,更应多加注意。
糖尿病初期症状
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医管局指出,若出现以下8种症状,可能已属于糖尿病初期:
- 经常口渴
- 小便频密
- 感到饥饿
- 体重下降
- 容易疲倦
- 视力模糊
- 伤口不易愈合
- 皮肤痕痒,女性也可能出现阴部痕痒
医管局又指,大部分糖尿病患者都属于“2型糖尿病”,病例占整体的9成以上。2型糖尿病的发病原因主要与不良饮食习惯、肥胖及缺乏运动等因素有关,导致身体细胞对胰岛素产生阻抗,令细胞不能有效摄取及利用葡萄糖,最终令过多糖份积聚在血液,从而发病。
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