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증례 : 간세포암종의 자연적 파열로 유발된 고삼투압성 고혈당 상태 1예
윤혜은 ( Hye Eun Yoon ),남성민 ( Sung Min Nam ),손태서 ( Tae Seo Sohn ),김창욱 ( Chang Wook Kim ),손현식 ( Hyun Shik Son ),이창돈 ( Chang Don Lee ),차봉연 ( Bong Youn Cha ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
저자들은 간세포암종의 파열로 유발된 고삼투압성 고혈당 상태 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 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)