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.
이용수
초록· 키워드
오류제보하기
Diabetic ketoacidosis (DKA) is a complex medical disorder characterized by abnormalities in electrolyte, acid-base, and volume status. Metabolic acidosis in mild and moderate DKA is corrected with insulin therapy. Bicarbonate therapy may be indicated in cases of severe metabolic acidosis, however the use of bicarbonate in severe DKA is controversial due to a lack of prospective randomized studies. Renal replacement therapy can be used for correction of systemic acidemia. Continuous renal replacement therapy (CRRT) is used in patients who are too hemodynamically unstable to tolerate conventional hemodialysis, but has also been used in treatment of patients with severe DKA. CRRT has never been used previously in DKA patients with refractory metabolic acidosis in Korea. Here, we describe the successful treatment of a DKA patient with refractory metabolic acidosis with CRRT.
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Kamel KS / 2015 / Acid-base problems in diabetic ketoacidosis / N Eng J Med 372:546~554
Kawata H / 2006 / The use of continuous hemodiafiltration in a patient with diabetic ketoacidosis / J Anesth 20:129~131
Johnson DD / 1980 / Diabetic ketoacidosis in a community-based population / Mayo Clin Proc 55:83~88
Ko SH / 2005 / Clinical characteristics of diabetic ketoacidosis in Korea over the past two decades / Diabet Met 22:466~469
MacIsaac RJ / 2002 / Influence of age on the presentation and outcome of acidotic and hyperosmolar diabetic emergencies / Intern Med J 32:379~385
Kawata H / 2006 / The use of continuous hemodiafiltration in a patient with diabetic ketoacidosis / J Anesth 20:129~131
Johnson DD / 1980 / Diabetic ketoacidosis in a community-based population / Mayo Clin Proc 55:83~88
Ko SH / 2005 / Clinical characteristics of diabetic ketoacidosis in Korea over the past two decades / Diabet Met 22:466~469
MacIsaac RJ / 2002 / Influence of age on the presentation and outcome of acidotic and hyperosmolar diabetic emergencies / Intern Med J 32:379~385
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The Author Reply: Endocrine and metabolic emergencies in children: hypocalcemia, hypoglycemia, adrenal insufficiency, and metabolic acidosis including diabetic ketoacidosis
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