A Case of Hyperosmolar Nonketotic Coma (HONKC) after Surgery for Laryngeal Carcinoma

Autor:	Yoshiyuki Tanigaito, Kohtaro Baba, Satoru Fukami, Hideki Hirabayashi, Hideto Asaka
Rok vydání:	2001
Předmět:	medicine.medical_specialty business.industry Insulin medicine.medical_treatment Cancer Postoperative complication medicine.disease Surgery Sepsis Otorhinolaryngology Diabetes mellitus Carcinoma medicine business Fluid replacement Rhabdomyolysis
Zdroj:	Practica Oto-Rhino-Laryngologica. 94:841-848
ISSN:	1884-4545 0032-6313
DOI:	10.5631/jibirin.94.841
Popis:	We report a case of hyperosmolar nonketotic coma that developed postoperatively in a patient with cancer of the larynx.The patient was a 69-year-old man, who underwent frontolateral laryngectomy.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.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.Careful postoperative care is needed for patients with diabetes mellitus.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::baef05f514a12c6223536e6bac1cc980 https://doi.org/10.5631/jibirin.94.841 Zobrazit plný text záznamu