HYPEROSMOLAR COMA IN SURGICAL PATIENTS - LATROGENIC DISEASE OF INCREASING INCIDENCE
HYPEROSMOLAR COMA IN SURGICAL PATIENTS - LATROGENIC DISEASE OF INCREASING INCIDENCE
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DOI：
10.1097/00000658-197311000-00017
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发表时间：
1973-01-01
影响因子：
9
通讯作者：
STAHL, WM
中科院分区：
文献类型：
--
作者：
BRENNER, WI;LANSKY, Z;STAHL, WM
近年来，高渗性、高血糖、非酮症糖尿病昏迷 (HHNKDC) 的报道大幅增加。 1-12 报告了我们在过去 2 年中在纽约大学贝尔维尤医学中心的外科服务中处理 10 例这种综合征的经验。这表明该实体的兴起可能不仅归因于检测的改进，还归因于医源性因素，例如更有效的“营养过剩”和“多尿”治疗方式。随着术前和术后护理的改善，现在患有 HHNKDC 的典型外科患者的情况正在发生变化。
IN RECENT YEARS reports of hyperosmolar, hyperglycemic, nonketotic diabetic coma (HHNKDC) have proliferated greatly. 1-12 Our experience with ten cases of this syndrome in the past 2 years on the surgical services of the New York University-Bellevue Medical Center is reported. It suggests that the rise of this entity may be due not only to improved detection but also to iatrogenic factors such as the more potent therapeutic modalities of" hyperalimentation" and" hyperdiuresis". The pro-file of the typical surgical patient now developing HHNKDC is changing in response to improved preand postoperative care.