당뇨병의 급성 대사성 합병증에 대한 임상적 고찰(Ⅲ) = Clinical Observations of Acute Metabolic Complications of Diabetes Mellitus

다국어 초록 (Multilingual Abstract)

We observed clinical features in 26 patients with acute metabolic complications of diabetes mellitus, diabetic ketoacidosis 21 cases and hyperosmolar nonketotic coma 5 cases who were diagnosed and treated in chungnam National University Hospital from January 1993 to December 1993. The overall incidence of diabetic inpatients with acute metabolic complications were 2.6 percent. The mean age of the diabetic patients with acute metabolic complications was 48.0 year-old. The durations of the diabetic patients with acute metabolic complications were 5.9 years and only 4(15.1 percent) out of the 26 patients with acute metabolic complications were presented as a initial manifestations of diabetes mellitus. Gastrointestinal symptoms were the most common complaints in the patients with diabetic ketoacidosis and altered consciousness was in the patients hyperosmolar nonketotic coma. Dehydration was the most common physical findings in both groups of patients with diabetic ketoacidosis and hyperosmolar nonketotic coma. Omission of the insulin therapy and infections were the most mommon precitipation factors for the development of diabetic ketoacidosis and hyperosmolar nonketotic coma, respectively. The mortality rates of the patients with diabetic ketoacidosis and hyperosmolar nonketotic coma were 7.7 percent and 20 percent, respectively.