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経皮的腎砕石術による水中毒

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Title: 経皮的腎砕石術による水中毒
Other Titles: Water Toxicity following Percutaneous Nephrolithotripsy
Authors: 早川, 峰司1 Browse this author →KAKEN DB
森本, 裕二2 Browse this author →KAKEN DB
劔物, 修3 Browse this author →KAKEN DB
Authors(alt): Hayakawa, Mineji1
Morimoto, Yuji2
Kemmotsu, Osamu3
Keywords: 経皮的腎砕石術
水中毒
低Na血症
Percutaneous nephrolithotripsy
Water toxicity
Hyponatremia
Issue Date: Sep-2000
Publisher: 真興交易
Journal Title: 臨床麻酔
Volume: 24
Issue: 9
Start Page: 1521
End Page: 1522
Abstract: A 61–year-old man underwent percutaneous nephrolithotripsy (PNL) for renal stone under general anesthesia. At fist, physiologic saline was used as irrigation fluid. This was changed to 3% sorbitol by an order of the urologist because the surgery would be prolonged. Total of 6L of physiologic saline and 15L of 3% sorbitol were used as irrigation fluid. After the surgery, the patient complained of nausea and severe hypotension was observed. Laboratory data showed severe anemia and hyponatremia indicating intraoperative blood loss and water toxicity. His condition was stabilized by blood transfusion and diuretics by the next day.
Type: article (author version)
URI: http://hdl.handle.net/2115/45401
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 早川 峰司

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