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정복섭(Bok Seup Chung),민현조(Hyeon Jo Min),홍연식(Yeon Sik Hong),이재수(Jae Soo Lee),김승원(Seoung Woon Kim),송창섭(Chang Seup Song) 대한내과학회 1990 대한내과학회지 Vol.39 No.1
N/A Thirty-three cases of diabetic ketoacidosis, experienced in Seoul Red Cross Hospital from Jan. 1, 1981 to Dec. 31, 1988, were analyzed retrospectively. The following results were obtained: 1) The incidence was 1.83Zo of total diabetic admissions. 2) The mean age of the patients was 40.5 years old, the peak outbreak was in the third decade, and the male-to-female ratio was 1:2.3. 3) The mean diabetic period of patients was 3.5 years. 4) The most frequent precipitating factor was infection, pneumonia being peredominant, 5) The average amount of fluid and electrolyte ad- ministered within the first 24 hours was 4.7L of water and 42 mEq of K. The average dose of insulin administered within 24 hours was 122.7 units. 6) Fom cases expired and the mortality rate was 12.1%, Factors contributing to death were dehydration, pulmonary edema, and brain edema. 7) On discharge, we recomened KPH insulin in 19 cases, oral hypoglycemic agent in 19 cases, and exercise and diet control in seven cases.