Korean Diabetes Journal 1979;5(1):25-32.
Epidemiological Studies on Diabetes Mellitus in Korea , V Changing pattern of Incidence of Diabetes Mellitus in Hospital Patients
Eung Jin Kim , Hong kyu Lee , Soo Bong Choi , Young Kun Kim
원저 : 한국인 당뇨병의 역학적 연구 ( Ⅴ ) - 병원 입원 환자에 있어서의 당뇨병 빈도의 변화 양상 -
김응진 , 이홍규 , 최수봉 , 김영건
Abstract
Hyperglycemic, hyperosmoIar, nonketotic diabetic coma is a medical emergency chariacterized by extreme serum hyperosmolarity, hyperglycemia, and dehydration in the absence of ketosis and acidosis. The syndrome is usually developed in patient.; of old age with no history of diabetes mellitus or with mild addult-onset diabetes. We experienced one case of hyperglycemic hyperosmolar nonketotic diabetic coma in 65yr old Korean female patient who was admitted to this hospital on Feb 14, 1975 because of comstous mentalily. She has been diabetic for 6yrs but has been received only irregular treatrnent with orai hypaglycemic agents. On admission the blood pressure was 110/80 mmHg, blood glucose concentratinn 510 mg/dl, BUN 50 mg/dl, WBC 18350/cu mm, hemoglobin 14,0 gm/dl, hematocrit 42%, plasma osmolaarity 342 mOsm per kg H,O, plasma acetone negative, serum Na 146 mEq/L, Cl 102 mEq/L CO, combining power 42 volume% urinalysis revealed sugar 4+, acetone Negaitve. The diagnosis was consfirmed by clinical manifestation and biochemical studies. During the course of treatrnent with 0. 45% NaCl and regular insulin her mentality started to iniprove in 10 hrs after admission and was completely recovered in 18 hrs after admissian.


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