지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아내분비학회 Annals of Pediatirc Endocrinology & Metabolism Annals of Pediatirc Endocrinology & Metabolism 제23권 제2호
- 발행연도
- 2018.1
- 수록면
- 103 - 106 (4page)
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초록· 키워드
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Phosphate is essential in regulating human metabolic processes, and severe hypophosphatemia can induce neurologic and hematological complications and result in respiratory failure and cardiac dysfunction. Therefore, correction of severe hypophosphatemia can be pivotal in the management of diabetic ketoacidosis (DKA). We report the case of a 14-year-old female who was diagnosed with type 1 diabetes and referred to our institute for treatment of DKA. Although the patient received fluid and continuous insulin administration according to the current DKA treatment protocol, generalized tonic seizures and cardiac arrest developed. After cardiopulmonary resuscitation, the patient recovered and was stable. Within 16 hours after DKA treatment, the patient developed respiratory failure with severe hypophosphatemia that required mechanical ventilation. Concurrent neurologic evaluation revealed no specific abnormalities. The patient recovered without any complications after correcting the hypophosphatemia. We suggest vigilant monitoring of the phosphate level in DKA patients and active replacement when required.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Wolfsdorf J / 2009 / Diabetic ketoacidosis in children and adolescents with diabetes / Pediatr Diabetes 10(Suppl 12):118~133
Wilson HK / 1982 / Phosphate therapy in diabetic ketoacidosis / Arch Intern Med 142:517~520
Fisher JN / 1983 / A randomized study of phosphate therapy in the treatment of diabetic ketoacidosis / J Clin Endocrinol Metab 57:177~180
Gaasbeek A / 2005 / Hypophosphatemia: an update on its etiology and treatment / Am J Med 118:1094~1101
Wolfsdorf JI / 2014 / ISPAD Clinical Practice Consensus Guidelines 2014. Diabetic ketoacidosis and hyperglycemic hyperosmolar state / Pediatr Diabetes 15(Suppl 20):154~179
Wilson HK / 1982 / Phosphate therapy in diabetic ketoacidosis / Arch Intern Med 142:517~520
Fisher JN / 1983 / A randomized study of phosphate therapy in the treatment of diabetic ketoacidosis / J Clin Endocrinol Metab 57:177~180
Gaasbeek A / 2005 / Hypophosphatemia: an update on its etiology and treatment / Am J Med 118:1094~1101
Wolfsdorf JI / 2014 / ISPAD Clinical Practice Consensus Guidelines 2014. Diabetic ketoacidosis and hyperglycemic hyperosmolar state / Pediatr Diabetes 15(Suppl 20):154~179
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