Coma diabétique 417440 30443643 2008-06-09T03:41:18Z Zorrobot 179160 robot Ajoute: [[no:Sukkerslag]] {{ébauche|médecine}} Le '''coma diabétique''' est une [[urgence médicale]] dans laquelle une personne atteinte de [[diabète sucré]] est [[coma]]teux (inconscient) à cause de l'une des trois [[complications aiguës du diabète]] : # [[hypoglycémie diabétique]] grave # [[cétoacidose diabétique]] à un stade suffisamment avancé pour entraîner la perte de [[science et conscience|conscience]] par une association d'[[hyperglycémie]] grave, de [[déshydration]] et de [[choc]], <!--and exhaustion--> # [[coma hyperosmolaire non-cétonique]] dans lequel une [[hyperglycémie]] et une [[déshydration]] extreme sont suffisantes pour entraîner une perte de conscience. <!--In most medical contexts, the term diabetic coma refers to the diagnostic dilemma posed when a physician is confronted with an unconscious patient about whom nothing is known except that he has diabetes. An example might be a physician working in an [[emergency department]] who receives an unconscious patient wearing a [[medical identification tag]] saying DIABETIC. [[Paramedic]]s may be called to rescue an unconscious person by friends who identify him as diabetic. Brief descriptions of the three major conditions are followed by a discussion of the [[diagnosis|diagnostic process]] used to distinguish among them, as well as a few other conditions which must be considered.--> ==Hypoglycémie grave== ==Phase avancée de céto-acidose diabétique== ==coma non-cétonique hyperosmolaire== ==Identification de la cause du coma diabétique== <!-- Diabetic coma was a more significant diagnostic problem before the late 1970s, when glucose meters and rapid blood chemistry analyzers became universally available in hospitals. In modern medical practice, it rarely takes more than a few questions, a quick look, and a meter glucose to determine the cause of unconsciousness in a patient with diabetes. Laboratory confirmation can usually be obtained in half an hour or less. Also, the astute physician remembers that other conditions can cause unconsciousness in a person with diabetes: stroke, uremic encephalopathy, alcohol, drug overdose, head injury, or seizure. Fortunately, most episodes of diabetic hypoglycemia, DKA, and extreme hyperosmolarity do not reach unconsciousness before a family member or caretaker seeks medical help. --> == Voir aussi== * [[hypoglycémie diabétique]] * [[cétoacidose diabétique]] * [[coma non-cétonique hyperosmolaire]] {{Portail médecine}} [[Catégorie:Urgence médicale]] [[Catégorie:Diabète]] [[Catégorie:Médecine interne]] [[de:Diabetisches Koma]] [[en:Diabetic coma]] [[es:Coma diabético]] [[no:Sukkerslag]] [[pt:Coma diabético]]