An Elderly IDDM Patient with Asymptomatic Hypoxemia.
スポンサーリンク
概要
- 論文の詳細を見る
A 70-year-old female IDDM patient was admitted 4 times for diabetic ketoacidosis. Hypoxemia (Pao<SUB>2</SUB> 54mmHg) was noted at each admission. She had severe autonomic neuropathy, but no heart disease, retinopathy or nephropathy. There were no abnormal findings on chest X-ray, spirogram, ventil ation scintigram or perfusion scintigram. AaDo2 was very high (47mmHg). The shunt ratio was increased (20%). As is widely recognized, hypoxemia with high AaDo<SUB>2</SUB> is caused by (1) diffusion disturbance, (2) ventilation-perfusion imbalance, (3) andvenous-to-arterial shunt. No organic pulmonary disease was found in this case. It is speculated that the hypoxemia in this case is attributable to pulmonary dysfunction, secondary to a ventilation-perfusion imbalance and/or increased venous-to arterial shunt due to autonomic neuropathy.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
- Hyperlipidemia and Analysis of the Use of Lipid-lowering Drugs in Non-insulin-dependent Diabetes Mellitus.
- Thyrotoxic Crisis in a Patient with Mitochondrial Diabetes Mellitus.
- Rapidly Progressive Nephropathy in a Young Patient with Mitochondrial Gene Mutation.
- An Autopsy Case of Ketoacidosis in Insulin Dependent Diabetes Mellitus Patient Complicated with Adult Respiratory Distress Syndrome, DIC and Leukopenia.
- Studies on Alcoholic Beverages in Relation to Body Weight for Mild Diabetics