NONKETOTIC HYPERTONICITY IN DIABETES-MELLITUS

被引：51

作者：

LORBER, D

机构：

[1] NEW YORK HOSP,QUEENS MED CTR,DEPT ENDOCRINOL,FLUSHING,NY 11355

[2] ALBERT EINSTEIN COLL MED,BRONX,NY 10467

来源：

MEDICAL CLINICS OF NORTH AMERICA | 1995年 / 79卷 / 01期

关键词：

D O I：

10.1016/S0025-7125(16)30083-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Nonketotic hypertonicity (NKH) is one of the most common endocrine emergencies. It is more common in the elderly patient with noninsulin-dependent diabetes mellitus but may occur in insulin-dependent diabetes as well. Although there are many possible precipitating causes, the final common pathway is usually decreased,access to water. Treatment consists of vigorous hydration, electrolyte replacement, and small amounts of insulin. Most deaths from NKH occur in the first 2 days of hospitalization; therefore, a significant decrease in morbidity and mortality can be expected by education of patients and their caregivers in the prevention of NKH.

引用

页码：39 / 52

页数：14

共 72 条

[1] NONKETOTIC HYPEROSMOLAR COMA WITH HYPERGLYCEMIA - CLINICAL FEATURES, PATHOPHYSIOLOGY, RENAL FUNCTION, ACID-BASE-BALANCE, PLASMA-CEREBROSPINAL FLUID EQUILIBRIA AND EFFECTS OF THERAPY IN 37 CASES [J].