高渗性非酮症糖尿病昏迷：特别涉及血管并发症
Hyperosmolar non-ketotic diabetic coma: with particular reference to vascular complications.
作者信息
Whelton M J, Walde D, Havard C W
出版信息
Br Med J. 1971 Jan 9;1(5740):85-6. doi: 10.1136/bmj.1.5740.85.
Abstract
Two West Indian men with no previous history of diabetes mellitus developed hyperosmolar non-ketotic diabetic coma. Intra-abdominal catastrophes secondary to mesenteric thrombosis played a major part in the death of these patients, in both of whom control of the hyperosmolar state had been achieved. Both patients had evidence of infarction of intestine at necropsy. Vascular thromboses are a major complication of this form of coma and must be considered when such patients develop signs of an acute abdomen.
摘要
两名既往无糖尿病病史的西印度男性发生了高渗性非酮症糖尿病昏迷。肠系膜血栓形成继发的腹腔内灾难在这些患者的死亡中起了主要作用，这两名患者的高渗状态均已得到控制。尸检时两名患者均有肠梗死的证据。血管血栓形成是这种昏迷形式的主要并发症，当这类患者出现急腹症体征时必须予以考虑。
相似文献
1
Hyperosmolar non-ketotic diabetic coma: with particular reference to vascular complications.高渗性非酮症糖尿病昏迷：特别涉及血管并发症
Br Med J. 1971 Jan 9;1(5740):85-6. doi: 10.1136/bmj.1.5740.85.
2
Fatal venous thrombosis in hyperosmolar coma.
Diabetes. 1971 May;20(5):308-9. doi: 10.2337/diab.20.5.308.
3
Hyperosmolar nonketotic diabetic coma: vascular complications.
J Am Geriatr Soc. 1974 Oct;22(10):462-6. doi: 10.1111/j.1532-5415.1974.tb04815.x.
4
Hyperosmolar non-ketotic diabetic decompensation.
Br J Hosp Med. 1990 Feb;43(2):107.
5
[Several abdominal symptoms in children with diabetes mellitus].
Pediatriia. 1968 Aug;47(8):14-8.
6
Deaths associated with diabetic ketoacidosis and hyperosmolar coma. 1973-1988.与糖尿病酮症酸中毒和高渗性昏迷相关的死亡。1973 - 1988年。
Med J Aust. 1989 Oct 16;151(8):439, 441-2, 444. doi: 10.5694/j.1326-5377.1989.tb101253.x.
7
Hyperosmolar non-ketotic diabetic coma and rhabdomyolysis.高渗性非酮症糖尿病昏迷与横纹肌溶解症。
Postgrad Med J. 1994 Jan;70(819):44-6. doi: 10.1136/pgmj.70.819.44.
8
[Pelvic and femoral vein thrombosis in childhood].
Monatsschr Kinderheilkd. 1988 Jul;136(7):397-9.
9
[False "acute abdomen" and gastric hemorrhage in patients with decompensation of diabetes mellitus].
Sov Med. 1973 Jun;36(6):64-7.
10
Isolated mesenteric injury due to blunt abdominal trauma.钝性腹部创伤所致孤立性肠系膜损伤
Injury. 1976 May;7(4):295-8. doi: 10.1016/s0020-1383(75)80012-x.
引用本文的文献
1
Management of Hyperosmolar Hyperglycaemic State (HHS) in Adults: An updated guideline from the Joint British Diabetes Societies (JBDS) for Inpatient Care Group.成人高渗高血糖状态（HHS）的管理：联合英国糖尿病学会（JBDS）住院患者护理组的更新指南。
Diabet Med. 2023 Mar;40(3):e15005. doi: 10.1111/dme.15005. Epub 2022 Dec 21.
2
Association between Hyperosmolar Hyperglycemic State and Venous Thromboembolism in Diabetes Patients: A Nationwide Analysis in Taiwan.糖尿病患者高渗高血糖状态与静脉血栓栓塞症的关联：台湾地区的全国性分析
J Pers Med. 2022 Feb 17;12(2):302. doi: 10.3390/jpm12020302.
3
DKA and thrombosis.糖尿病酮症酸中毒与血栓形成
CMAJ. 2005 Jul 19;173(2):132; author reply 132-3. doi: 10.1503/cmaj.1050103.
4
Management of hyperosmolar coma.高渗性昏迷的管理
J R Soc Med. 1980 Feb;73(2):134-8. doi: 10.1177/014107688007300211.
5
Low-dose insulin treatment of hyperosmolar diabetic coma.低剂量胰岛素治疗高渗性糖尿病昏迷。
Postgrad Med J. 1981 Sep;57(671):556-9. doi: 10.1136/pgmj.57.671.556.
6
Hyperosmolar non-ketotic diabetic syndrome precipitated by treatment with diuretics.由利尿剂治疗引发的高渗性非酮症糖尿病综合征。
Br Med J (Clin Res Ed). 1982 Jan 2;284(6308):36-7. doi: 10.1136/bmj.284.6308.36.
7
Haemostatic changes in diabetic coma.糖尿病昏迷中的止血变化。
Diabetologia. 1981 Sep;21(3):172-7. doi: 10.1007/BF00252650.
8
Fibrinolysis and peritoneal dialysis in the treatment of diabetic coma, complicated by severe shock. A case report.
Diabetologia. 1972 Apr;8(2):145-7. doi: 10.1007/BF01235641.
9
Alterations in erythrocytes in hyperosmolar diabetic decompensation: a pathophysiological basis for impaired blood flow and for an improved design of fluid therapy.
Diabetologia. 1985 Oct;28(10):739-42. doi: 10.1007/BF00265021.
本文引用的文献
1
Gastric hemorrhage in diabetic coma.
Diabetes. 1960 Mar-Apr;9:94-6. doi: 10.2337/diab.9.2.94.
2
HYPERGLYCEMIA NONKETOTIC COMA.
Arch Intern Med. 1965 Jul;116:74-82.
3
DIABETIC COMA WITHOUT KETOACIDOSIS IN A PATIENT WITH ACUTE PANCREATITIS.一名急性胰腺炎患者出现无酮症酸中毒的糖尿病昏迷。
Br Med J. 1964 Feb 8;1(5379):356.
4
Diabetic coma without ketoacidosis.
Lancet. 1963 Jan 12;1(7272):75-7. doi: 10.1016/s0140-6736(63)91082-1.
5
Hyperglycemia and hyperosmolarity in an eighteen-month-old child.
N Engl J Med. 1967 Mar 23;276(12):683-4. doi: 10.1056/NEJM196703232761208.
6
Gastrointestinal manifestations of diabetes.糖尿病的胃肠道表现
N Engl J Med. 1966 Dec 15;275(24):1350-61. doi: 10.1056/NEJM196612152752406.
7
Hyperosmolar coma.
Am J Med. 1968 Oct;45(4):485-7. doi: 10.1016/0002-9343(68)90164-2.
Zotero 插件