A case of Diabetic Ketoacidosis

당뇨병성 케톤산증 1례

  • Byun, Sang-Hyuk (Dept. of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Kwon, Young-Gu (Dept. of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Ahn, Young-Min (Dept. of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Ahn, Se-Young (Dept. of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Doo, Ho-Kyung (Dept. of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Choi, Ki-Lim (Dept. of Internal Medicine, College of Oriental Medicine, Kyunghee University)
  • 변상혁 (경희의료원 부속한방병원 6내과) ;
  • 권영구 (경희의료원 부속한방병원 6내과) ;
  • 안영민 (경희의료원 부속한방병원 6내과) ;
  • 안세영 (경희의료원 부속한방병원 6내과) ;
  • 두호경 (경희의료원 부속한방병원 6내과) ;
  • 최기림 (경희의료원 부속한방병원 6내과)
  • Published : 2002.03.30

Abstract

Diabetic Ketoacidosis(DKA), one of acute complications of diabetes mellitus(DM) occurs mostly in insulin dependent diabetes mellitus (IDDM) patients. Its clinical symptoms are hyperglycemia, ketonemia or ketonuria, metabolic acidosis, etc. The interaction of lack of insulin, excessive secretion of insulin antagonic hormone and dehydration cause body fluid loss and electrolyte, typical symptom of DKA as polyuria, polydipsia, nausea, vomiting, abdominal pain occur. As a result, prompt supply of fluid and insulin by intravenous injection should be conducted for treatment. It is still an emergent disorder whose mortality is still 10 to 15%, though is has decreased compared to the past. We treated a female patient who has DKA, had withdrawn insulin pump therapy. We report a case of DKA with a brief review of related literatures.

Keywords

References

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