A CASE OF HYPEROSMOLAR COMA WITH HYPERNATREMIA AND HYPERCHLOREMIA CAUSED BY OBSTRUCTION OF LOWER URETHRA IN A DIABETIC PATIENT
- VernacularTitle:糖尿病神经性膀胱及前列腺肥大致高钠高氯高渗性昏迷
- Author:
Weixin DAI
;
Yifan SHI
;
Zimeng JIN
;
- Publication Type:Journal Article
- From:
Chinese Journal of Endocrinology and Metabolism
1985;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
This article reports the development of hyperosmolar hypernatremic hyperchloremic coma and acute renal failure in a male diabetic patient after recovery from hyperosmolar hypergly-cemic nonketonic coma, of which the cause is fluid retention in excess of urinary output due to the obstruction of lower urethra by diabetic neurogenic urinary bladder and hyper-plasia of prostate gland.By our experience each old diabetic man should be examined to confirm if he has neuro-genic urinary bladder and/or hyperplasia of prostate gland. Care should be taken to keep the balance of fluid intake and output provided that both of these conditions are present. The acute obstructive nephropathy can quickly ameliorate with release of the obstruction.
