Another important mechanism is hyperosmolarity, which is where there is an increased extracellular osmolarity, relative to the intracellular space.

另一个重要机制是高透压，即相对于细胞内，细胞外透压增高。

In HHS, you can sometimes see mild ketonemia and acidosis, but not to the extent that it's seen in DKA, and in DKA you can see some hyperosmolarity, so there is definitely overlap between these two syndromes.

HHS中，有时会出现轻度酮血和酸中毒，但不会进展到DKA那么严重；在DKA中，可看到一些高，所以上述两种综合征之间确实有部分相同。