Two Cases of Diabetic Hyperglycemic Hyperosmolar Coma Treated with Maintaining CAPD in Chronic Renal Failure Patients with CAPD / 대한신장학회잡지
Korean Journal of Nephrology
; : 515-519, 2001.
Article
em Ko
| WPRIM
| ID: wpr-137351
Biblioteca responsável:
WPRO
ABSTRACT
We reported two cases of diabetic hyperglycemic hyperosmolar coma treated with maintaining continuous ambulatory peritoneal dialysis(CAPD) in chronic renal failure(CRF) patients with CAPD. Hyperglycemia is common complication in CAPD, but there were only few reports of severe hyperglycemia accompanying with hyperosmolar coma in CRF patients on CAPD therapy. Furthermore, to date, no specific management for CAPD patients with nonketotic hyperosmolar coma has been established. The best strategy for management of hyperosmolar coma with CAPD patients is changing CAPD therapy to HD. Recently, we experienced two cases of hyperglycemic hyperosmolar coma in diabetic CAPD patients successfully treated with intravenous hydration and insulin therapy without discontinuing CAPD therapy. Because no such case has been reported, we report two cases of diabetic hyperosmolar coma with CAPD treated without conversion to HD. These cases suggest that adequate fluid replacement accompanying electrolytes and osmotic balance as well as insulin therapy might be a major role for safe treatment of hyperglycemic hyperosmolar coma in patient with CAPD.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Diálise Renal
/
Diálise Peritoneal Ambulatorial Contínua
/
Coma
/
Eletrólitos
/
Hiperglicemia
/
Insulina
/
Falência Renal Crônica
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Nephrology
Ano de publicação:
2001
Tipo de documento:
Article