| A case of hyperosmolar hyperglycemic state precipitated by spontaneous rupture of hepatocellular carcinoma |
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Hye Eun Yoon, Sung Min Nam, Tae Seo Sohn, Chang Wook Kim, Hyun Shik Son, Chang Don Lee, Bong Youn Cha |
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Department of Medicine, Sungkyunkwan University School of Medicine |
| 증례 : 간세포암종의 자연적 파열로 유발된 고삼투압성 고혈당 상태 1예 |
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윤혜은&#;남성민&#;손태서&#;김창욱&#;손현식&#;이창돈&#;차봉연, Sung Min Nam, Tae Seo Sohn, Chang Wook Kim, Hyun Shik Son, Chang Don Lee, Bong Youn Cha |
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| Abstract |
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Ketoacidosis and hyperosmolar hyperglycemia are the two most serious acute metabolic complications of diabetes, even if managed properly. The mortality rate of patients with hyperosmolar hyperglycemic state still remains high at ～15%. Mortality is associated with advanced age and comorbidity and is usually due to an associated catastrophic illness or to acute complications.
Treatment of hyperglycemic states depends critically on the detection and treatment of precipitating illness, as well as prompt attention to fluid and electrolyte disturbances. We report a case of hyperosmlar hyperglycemic state precipitated by spontaneous rupture of hepatocelluar carcinoma. (Korean J Med 69:S879-S883, 2005) |
| Key Words:
Hyperglycemic hyperosmolar nonketotic coma, Hepatocelluar carcinoma |
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