高浸透圧性非ケトン性昏睡
WordNet
- used to express refusal or denial or disagreement etc or especially to emphasize a negative statement; "no, you are wrong"
- a negative; "his no was loud and clear"
- referring to the degree to which a certain quality is present; "he was no heavier than a child" (同)no more
- not in any degree or manner; not at all; "he is no better today"
- quantifier; used with either mass nouns or plural count nouns for indicating a complete or almost complete lack or zero quantity of; "we have no bananas"; "no eggs left and no money to buy any"; "have you no decency?"; "did it with no help"; "Ill get you there in no time"
- (botany) a usually terminal tuft of bracts (as in the pineapple) or tuft of hairs (especially on certain seeds)
- a state of deep and often prolonged unconsciousness; usually the result of disease or injury (同)comatoseness
- (astronomy) the luminous cloud of particles surrounding the frozen nucleus of a comet; forms as the comet approaches the sun and is warmed
PrepTutorEJDIC
- 《名詞の前に置いて》『一つも』(『一人も,少しも』)・・・『ない』 / 《補語につけて》『決して・・・でない』 / 《省略文で》・・・なし;・・・お断り / 《話》少ししか(あまり)・・・ない / (肯定の問いに対して)『いいえ』;(否定の問いに対して)はい,ええ / 《not, norの前に挿入して》『いや』,否 / 《形容詞の前に置その形容詞を否定して》…どころではない / 《比較級の前に置いて》ちっとも…でない,…と全く同じ / 《… or no の形で》…であってもなくても / 《驚き・困惑・不信などを表して》とんでもない / 《単数形で》『拒否』,「『いいえ』」という返事 / 《複数形で》反対[投]票
- こん睡状態
- コマ(彗星(すいせい)の核の周囲の星雲状物質) / (レンズの)非対称収差 / (種子の)種綿(たねわた)
- 『来たるべき』,『次の』 / 《話》前途有望な,今売り出し中の;新進の / (…の)『到来』,接近,致着(arrival)《+『of』+『名』》
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Managing hyperglycaemic emergencies: an illustrative case and review of recent British guidelines.
- Rosival V.
- Clinical medicine (London, England).Clin Med.2013 Oct;13(5):526. doi: 10.7861/clinmedicine.13-5-526a.
- PMID 24115723
- Hypoglycaemia in anesthesiology practice: Diagnostic, preventive, and management strategies.
- Kalra S1, Bajwa SJ2, Baruah M3, Sehgal V4.Author information 1Department of Endocrinology, Bharti Hospital and BRIDE, Karnal, Haryana, India.2Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.3Department of Endocrinology, Excel Center (Unit of Excel Care Hospitals), Guwahati, Assam, India.4Commonwealth Health - Regional Hospital of Scranton Clinical, Assistant Professor of Medicine, The Commonwealth Medical College, Scranton, PA 18510, USA.AbstractDiabetes mellitus has emerged as one of the fastest growing non communicable diseases worldwide. Management of diabetic patients during surgical and critically illness is of paramount challenge to anesthesiologist and intensivist. Among its major acute complications, hypoglycemia has been given lesser attention as compared to other major acute complications; diabetic ketoacidosis and hyperosmolar non ketotic coma. However, newer studies and literary evidence have established the serious concerns of morbidity and mortality, both long- and short-term, related to hypoglycemia. basis. Invariably, diabetic patients are encountered in our daily routine practice of anesthesia. During fasting status as well as the perioperative period, it is hypoglycemia that is of high concern to anesthesiologist. Management has to be based on clinical, pharmacological, social, and psychological basis, so as to completely prevent the complications arising from an acute episode of hypoglycemia. This review aims to highlight various aspects of hypoglycemia and its management both from endocrine and anesthesia perspective.
- Saudi journal of anaesthesia.Saudi J Anaesth.2013 Oct;7(4):447-452.
- Diabetes mellitus has emerged as one of the fastest growing non communicable diseases worldwide. Management of diabetic patients during surgical and critically illness is of paramount challenge to anesthesiologist and intensivist. Among its major acute complications, hypoglycemia has been given less
- PMID 24348299
- Renal cortical pallor--a useful macroscopic marker for metabolic derangements at autopsy.
- Zhou C, Yool A, Byard RW.Author information School of Medical Sciences, The University of Adelaide Medical School, Frome Road, Adelaide, SA, 5005, Australia.AbstractRenal cortical pallor was studied as a potential marker at autopsy of diabetic ketoacidosis in 23 cases, hyperglycemic nonketotic coma in eight cases, and alcoholic ketoacidosis in five cases (vitreous humor glucose level≥11.1 mM; β-hydroxybutyrate level≥5 mM). Renal cortical pallor was noted on macroscopic examination in 10 of 23 cases of lethal diabetic ketoacidosis (43.5%), three of eight cases of fatal hyperglycemic nonketotic coma (37.5%), and in two of five cases of alcoholic ketoacidosis (40%). Histologic examination revealed basal vacuolization of renal tubular epithelial cells in 12 cases, Armanni-Ebstein lesions in 10, and osmotic nephrosis in three. Although renal cortical pallor did not appear to be a particularly sensitive marker for hyperglycemia or ketoacidosis, and did not correlate with the severity of these parameters, it may still represent a useful macroscopic marker for underlying metabolic conditions at autopsy and should therefore prompt measurement of vitreous humor glucose and β-hydroxybutyrate levels.
- Journal of forensic sciences.J Forensic Sci.2013 May;58(3):693-6. doi: 10.1111/1556-4029.12102. Epub 2013 Mar 12.
- Renal cortical pallor was studied as a potential marker at autopsy of diabetic ketoacidosis in 23 cases, hyperglycemic nonketotic coma in eight cases, and alcoholic ketoacidosis in five cases (vitreous humor glucose level≥11.1 mM; β-hydroxybutyrate level≥5 mM). Renal cortical pallor was noted o
- PMID 23488620
Japanese Journal
- 内分泌・代謝疾患 糖尿病ケトアシドーシス・高血糖高浸透圧昏睡 (特集 救急薬剤プラクティカルガイド) -- (疾患別救急薬剤ベストプラクティス)
- Fulminant Emphysematous Pyelonephritis (EPN) in a Diabetic Patient Suspected of Having Multiple Tumors
- Sato Junko,Koyano Hajime M.,Sasaki Ruri,Koike Yoshie,Sugimura Sosuke,Watada Hirotaka
- Internal Medicine 49(21), 2317-2320, 2010
- … Subsequently, she was found unconscious at home and diagnosed with urinary infection, sepsis, and hyperglycemic hyperosmolar non-ketotic coma. …
- NAID 130000413349
- インスリン導入が遅れ高血糖高浸透圧昏睡を来たした高齢者糖尿病の1例
- 川上 明夫,中江 吉希,豊島 堅志 [他],今井 豊,金子 英司,下門 顕太郎
- 日本老年医学会雑誌 44(6), 756-760, 2007-11-25
- NAID 10021238345
Related Links
- Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus ( predominantly type 2) in which high blood ... Older names for HHS are hyperosmolar non-ketotic coma (HONK), nonketotic hyperosmolar coma, hyperosmolar ...
- 16 May 2012 ... Diabetic coma -- also known as hyperglycemic hyperosmolar nonketotic syndrome -- is a serious complication that can happen to a person with diabetes who is ill or whose body is stressed. It occurs more in people with type 2 ...
★リンクテーブル★
[★]
- 英
- nonketotic hyperosmolar coma (HIM) non-ketotic hyperosmolar coma, hyperosmolar non-ketotic coma(DMR) HONK hyperosmolar nonketotic coma
- 同
- 高血糖高浸透圧昏睡、糖尿病性高血糖性高浸透圧性昏睡 hyperglycemic hyperosmolar nonketotic coma hyperglycemic hyperosmolar non-ketotic coma(DMR) HHNC、高浸透圧性非ケトン性糖尿病昏睡 hyperosmolar non-ketotic diabetic coma hyperosmolar nonketotic diabetic coma HONK、非ケトン性高血糖性昏睡 nonketotic hyperglycemic coma、非ケトン性高浸透圧性昏睡
- hyperglycemic hyperosmolar state？ HHS？ (HIM)
- 関
- 糖尿病
[show details]
概念
- 2型糖尿病が基礎にある。
- 50歳以上に好発し、インスリン非依存性糖尿病患者が腎不全や中枢神経障害、悪性腫瘍、消化器疾患、呼吸器感染などを合併するときに多くみられ、ステロイドや利尿薬の投与、輸液や高カロリー補給、人工透析などの際に医原性に起きやすい。
鑑別
- 呼吸(Kussmaul呼吸があるわけではない。代謝性アシドーシスの呼吸性代償が必要ないことが多い？)
- 尿中ケトン体、動脈血HCO3-
国試
[★]
- 関
- hyperosmolality、hyperosmolarity、hyperosmosis、hyperosmotic、hypertonic、hypertonicity
[★]
- 関
- number of experiment、sample size
- pの前の[n]はmと記載する。synptom→symptom
[★]
- 関
- ketosis
[★]
[★]
- 関
- un