[Hyperglycemic hyperosmolar nonketotic coma].
Ten patients with the syndrome of non-ketotic hyperosmolar coma are described. The mean age of the patients was 62.3 +/- 17.12 years. One patient was 16 years old. In 9 cases the patients had type II diabetes, one had type I diabetes. In 7 cases the coma was the first sign of diabetes. The factor predisposing in most cases was infection. In the treatment-acting insulin and hypotonic solutions were given. In 2 cases clinical signs of the DIS syndrome were observed manifesting themselves with local changes, including mental disturbances. Heparin was given with good effect. Three patients (30%) died in hospital. The cause of death was serious disease associated with this coma: pancreatitis and myocarditis, purulent bronchopneumonia, myocardial infarction.
II Kliniki Chorób Wewnetrznych Instytutu Chorób Wewnetrznych Ak. Med. w Gdańsku.
J
J
Jaromczyk-Slisz
E
E
Semetkowska-Jurkiewicz
S
S
Horoszek-Maziarz
D000293:Adolescent; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D003131:Combined Modality Therapy; D003422:Critical Care; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications*; D003926:Diabetic Coma / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000097:blood / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009994:Osmolar Concentration
D001786:Blood Glucose
Nieketonowa, hiperosmolarna śpiaczka cukrzycowa.