간세포암종의 자연적 파열로 유발된 고삼투압성 고혈당 상태

저자들은 간세포암종의 파열로 유발된 고삼투압성 고혈당 상태 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Ketoacidosis and hyperosmolar hyperglycemia are the two most serious acute metabolic complications of diabetes, even if managed properly. The mortality rate of patients with hyperosmolar hyperglycemic state still remains high at ~15%. Mortality is associated with advanced age and comorbidity and is usually due to an associated catastrophic illness or to acute complications. Treatment of hyperglycemic states depends critically on the detection and treatment of precipitating illness, as well as prompt attention to fluid and electrolyte disturbances. We report a case of hyperosmlar hyperglycemic state precipitated by spontaneous rupture of hepatocelluar carcinoma. (Korean J Med 69:S879-S883, 2005)