Clinical Analysis of Hyperglycemic Hyperosmolar Nonketotic Coma after Esophagectomy
- VernacularTitle:食管癌术后并发高血糖高渗性非酮症性昏迷的临床分析
- Author:
Ying CHEN
1
;
Zongwu LIN
;
Songtao XU
;
Qun WANG
Author Information
1. 广东省高州市人民医院胸外科
- Keywords:
Esophageal cancer;
Postoperative;
Complications;
Hyperglycemia;
Hyperosmolar nonketotic coma
- From:
Chinese Journal of Clinical Medicine
2016;23(1):31-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the etiology ,as well as the clinical prevention and treatment strategy ,of hyperglycemic hyperosmolar nonketotic coma after esophagectomy .Methods :The clinical data of five patients who suffered hyperglycemic hyperosmolar nonketotic coma after esophagectomy in Department of Thoracic Surgery ,Zhongshan hospital ,Fudan Unviersity during January 2009 and December 2014 ,were retrospectively analyzed .Results:There was no case with diabetes history among the five cases before operation .All the 5 cases received enteral nutrition after operation ,among which 4 cases suffered postoperative complications .The main symptoms included dehydration and psychogenia .And coma occurred in severe cases . Three cases recovered well and reach an average hospital stay of 42 days owning to early diagnosis and treatment .The other two were diagnosed too late .One case died in hospital on the 54th day after operation and the other case had been staying in hospital for 210 days .Furthermore ,no patient developed diabetes .Conclusions :Hyperglycemic hyperosmolar nonketotic coma may even occur after esophagectomy in patients without diabetes ,especially in the patients who suffer from complications or received enteral nutrition . Postoperative monitoring of blood glucose could prevent this complication . Early diagnosis and treatment could improve its prognosis .
