交通外傷後糖尿病性昏睡に陥った一症例

概要

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The patient fell when he was hit by a car and lost his consciousness for several minutes but later regained consicousness and was hospitalized. However, on the third day after the accident, there appeared symptoms of unconsciousness and he fell into a coma dhnrtly thereafter. He died on the seventh day after the accident.<BR>The patient had been suffering from diabetes for about ten years and had all the while received insulin injections under doctor's order. The hospital where he was confined learned of this for the first time when he fell into a coma.<BR>The blood sugar count taken on the third day from the accident was 290 mg/dl while one taken at the time of post-mortem examination (7 days later) was 150 mg/dl. The hisstological examination of the various organs such as the liver, the pancreas and the kidneys showed evidence of ailment characteristic to a diabetic. In contrast, there was no evidence in the brain that the patient would be normal for three days and then fall into a coma. In view of this, it is believed that death was caused by "diabetic coma".<BR>This cases shows that there was lack of consideration for any ailment the patient may be suffering from. It was pointed out that the hospital staff was rather late in understanding the case and treating the patient accordingly. This clearly shows the importance of studying the case history of an emergency patient.
学校法人昭和大学・昭和医学会の論文