喉頭癌術後の高浸透圧性非ケトン性昏睡例  [in Japanese] A Case of Hyperosmolar Nonketotic Coma (HONKC) after Surgery for Laryngeal Carcinoma  [in Japanese]

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Author(s)

Abstract

We report a case of hyperosmolar nonketotic coma that developed postoperatively in a patient with cancer of the larynx.<br>The patient was a 69-year-old man, who underwent frontolateral laryngectomy.<br>He suddenly became comatose on the 17th day after surgery and examination revealed HONKC. A low rate of continuous intravenous drip infusion of insulin and fluid replacement were initiated.<br>Despite subsequent acute renal failure, sepsis, disseminated intravascular coaglation and rhabdomyolysis, the patient is still alive to date. HONKC is rare as a postoperative complication, but can be fatal.<br>Careful postoperative care is needed for patients with diabetes mellitus.

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 94(9), 841-848, 2001-09-01

    The Society of Practical Otolaryngology

References:  19

Codes

  • NII Article ID (NAID)
    10008097660
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    00326313
  • Data Source
    CJP  J-STAGE 
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