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A Case of Diabetic Ketoacidosis with Refractory Metabolic Acidosis Successfully Treated with Continuous Hemodiafiltration
Journal of the Korean Society of Emergency Medicine ; : 480-482, 2015.
Article Dans Anglais | WPRIM | ID: wpr-145518
ABSTRACT
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.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Acidose / Études prospectives / Dialyse rénale / Acidocétose diabétique / Traitement substitutif de l'insuffisance rénale / Hémodiafiltration / Insuline / Corée Type d'étude: Essai clinique contrôlé / Étude observationnelle Limites du sujet: Humains Pays comme sujet: Asie langue: Anglais Texte intégral: Journal of the Korean Society of Emergency Medicine Année: 2015 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Acidose / Études prospectives / Dialyse rénale / Acidocétose diabétique / Traitement substitutif de l'insuffisance rénale / Hémodiafiltration / Insuline / Corée Type d'étude: Essai clinique contrôlé / Étude observationnelle Limites du sujet: Humains Pays comme sujet: Asie langue: Anglais Texte intégral: Journal of the Korean Society of Emergency Medicine Année: 2015 Type: Article