RESUMO
Complex intensive therapy involving daily procedures of hyperbaric oxygenation combined with antioxidants in patients admitted to hospital in condition of ketoacidotic coma allows prompt elimination of hypoxia, acidosis, hyperglycemia and makes it possible to enhance resistance of cellular membranes and normalize free-radical parameters of lipid peroxidation.
Assuntos
Cuidados Críticos , Coma Diabético/terapia , Adolescente , Adulto , Criança , HumanosRESUMO
Under analysis were 55 cases of toxic goiter associated with diabetes mellitus. All the patients were operated upon with good early results. A scheme for the choice of necessary preoperative dosage of insulin is recommended. The authors believe the combination of toxic goiter and diabetes mellitus to be an indication for surgery. Decompensation of diabetes mellitus in patients with thyrotoxicosis is associated with the increased amount of contrinsular hormones. The operations resulted in the improvement of the course of both diseases.