고중성 지방혈증은 잘 알려진 급성 췌장염의 원인 중 하나이다. 당뇨병성 케톤산증, 고중성 지방혈증 및 급성 췌장염이 연관이 있다는 것은 알려져 있으나, 이 세 가지 질환의 연관성이 어떠한 기전에 의해 발생하는지 정확히 알려지지 않았다. 보통 중성지방이 1,000 mg/dL 이상으로 상승하였을 때 급성 췌장염의 위험도가 증가한다고 알려져 있다. 그러나 본 저자들은 당뇨병성 케톤산증 환자에서 중성지방이 200 mg/dL 미만임에도 급성 췌장염이 발생한 증례를 경험하여 이를 보고하고자 한다.

Purpose: This study evaluates the clinical judgment levels of nursing school students in simulation practice of diabetic ketoacidosis and score differences in clinical judgment levels based on academic record grades. Methods: The clinical judgment levels of 149 nursing students (3rd grade) who received a lecture on simulation practice for diabetic ketoacidosis simulation were evaluated during the period from March 3 to June 20, 2014. Data were collected and measured for the general characteristics, clinical judgment levels of nursing students in simulation of diabetic ketoacidosis, and difference in scores of clinical judgment levels according to grades. Results: Clinical judgment levels of these test participants was 2.82 points on average out of a full score of 4 points, and it was represented in the order of noticing (3.01), interpretation (2.86), response (2.79), and reflection (2.60) for each area. In addition, score differences in clinical judgment levels based on academic record grades were significantly higher in the upper ranks than in the lower ranks in all the areas. Conclusion: In simulation practice of this study, through observation by rubric education method, an objective recognition could be assessed and the importance of nursing knowledge was implied.