A case of diabetic hyperosmolar coma treated successfully with conversion to hemodialysis in a chronic renal failure patient on CAPD treatment / 대한내과학회지
Korean Journal of Medicine
; : 946-949, 1999.
Article
en Ko
| WPRIM
| ID: wpr-139228
Biblioteca responsable:
WPRO
ABSTRACT
Continuous ambulatory peritoneal dialysis(CAPD) is now the most important and effective therapeutic modality as well as hemodialysis(HD) and renal transplantation in patients with chronic renal failure. It is frequently recommended to diabetic renal failure patients because of poor, athersclerotic vascularity of them. Hyperglycemia and obesity are not uncommon complications of CAPD therapy. But there were only few reports of very severe hyperglycemia or hyperosmolar coma in CRF patients on CAPD therapy, especially with 7% dextrose CAPD dialysate in foreign countries in the past. Moreover, no specific management for hyperosmolar coma is established in those situations yet. In Korea, only three cases of hyperosmolar coma in non diabetic renal failure patient on CAPD therapy have been reported in one case report. And only one case among them whose CAPD therapy was changed to HD survived. Authors also experienced a case of diabetic hyperosmolar coma treated successfully with conversion to HD in chronic renal failure patient on CAPD therapy. So we report this case with a review of literature. Taken together with this case and review of literature, changing CAPD therapy to HD is regarded to be an important part of treatment when hyperosmolar coma develops in chronic renal failure patients.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Diálisis Renal
/
Trasplante de Riñón
/
Diálisis Peritoneal Ambulatoria Continua
/
Coma
/
Insuficiencia Renal
/
Glucosa
/
Hiperglucemia
/
Fallo Renal Crónico
/
Corea (Geográfico)
/
Obesidad
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Medicine
Año:
1999
Tipo del documento:
Article