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KMID : 0378119880150020570
Chungnam Medical Journal
1988 Volume.15 No. 2 p.570 ~ p.576
A Clinical Observation of the Diabetic Coma




Abstract
There were 1133 patients of DM admission of this Hospital, Department of Internal Medicine, from 1982 to 1987. Among them, 23 patients of diabetic coma(Diabetic ketoacidosis & Hyperosmolar Nonketotic Coma) were evaluated
The results are as follows:
1. Diabetic Coma patients were 23 among 1133 DM patients(2%). DKA was 16 patients(69.6%f), Hypeosmolar coma was 7 patients(30.4%).
2. The mean age of DKA was 34.71 ¡¾4.66(SEM)years old, and that of Hyperosmolar nonketotic coma was 57.28¡¾5.45(SEM)years old, whose difference was statistically significant(P<0.01)
3. Among the various precipitating factors. infection was 6 cases, discontinuation of insulin use was 4 cases, CVA was 3 cases, in a order of frequncy.
4. In the case of previous treatment, 13 cases received no previous treatment, 6 cases received insulin injection, 1 case received oral hypoglycemic agent.
5. The mean PH on admission was 7.12¡¾0.05(SEM), and the mean blood glucose level was 480.78¡¾54.66(SEM)mg/dl.
6. 13 cases were recovered, 6 cases were resulted in death, 4 cases were not evaluable.
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