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A case of Juvenile Diabetic Coma.

Journal of the Korean Pediatric Society 1977;20(10):763-767.
Published online October 31, 1977.
A case of Juvenile Diabetic Coma.
O J Kang, C J Kim, S W Lee, S M Shin
Department of Pediatrics, College of Medicine, Kyung Hee University, Korea.
小兒 糖尿病性 昏睡 1 例
姜范中, 金昌周, 李秀雄, 申相滿
慶熙醫大 小兒科學敎室
Abstract
We experienced a case of Juvenile diabetes mellites with coma in a 20-month-old male baby. On admission, he was comatous and markedly dehydrated and he illustrated Kussmaul respiration. Laboratory data showed 750mg% of blood suggar and 4+ of urine sugar. Just after admission, fluid theraphy and insulin therapy were started. Twenty four hours after therapy, he awoke from unconsciousness and general condition was improved. His symptoms and signs were controlled with 16 U/day of regular insulin. On 7th hospital day, regular insulin was replaced to 14 U to N.P.H. On 26th day, he discharged with control with 9 U of N.P.H. The case is presented with brief review of literature.


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