首页    期刊浏览 2024年11月24日 星期日
登录注册

文章基本信息

  • 标题:The Clinical Studies of Sequential Changes of Serum Electrolytes , and Serum Osmolality after Transurethral Resection of the Prostate
  • 作者:Sung, Jang Ho ; Kim, Hae Kyu ; Kim, Inn Se
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:1987
  • 卷号:20
  • 期号:5
  • 页码:648-655
  • DOI:10.4097/kjae.1987.20.5.648
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    Dilutional hyponatremia and aurum hypoosmolality are commonly abserved during transure-thral resection of the prostate in association with the systemic absorption of the irrigating solution. To assess these sequential changes following surgery, 26 Patients were studies who unclerwent transurethral resection of the prostate because of prostatic tumors at Pusan National University Hospital, Where 4% Dextrose in Water is Still used as irrigating solution. 0.9% NaCl and furosemide were administered to all 26 patients in the recovery room after surgery. Blood samples were examined for serum electrolytes and osmolality 7efore induction of anesthesia, immediate-postoperatively, and at postoperative 1 hour, 6 hours and 24 hours respectively, The results are as fellows : 1) Of the 26 Patients, 19 Patients shoved abnormalities in serum electrolytes, especially serum sodium, in the immediate postoperative period, while 7 patients showed a slight decrease in serum sodium but within normal limits. Mean changes in serum sodium was 10.9 mEq/l in the immediate postoperative period, but after administration of 0.9% NaCl and furosemide, the level of serum sodium returned to normal limits within 1~3 hours. Serum calcium decreased approximately 0.8 mg/dl but returned to normal levels 3 hoers after surgery. But no symptoms of hyponatremia or hypocalcemia were not observed. 2) Serum osmolality decreased to about 8.4 mOsm/kg below the preoperative level in accordiance with hyponatremia, but returned to normal bevels 24 hours postoperatively. 3) Blood glucose levels increased about 231.5 mg% but returned to normal levels 24 hours postoperatively.

Loading...
联系我们|关于我们|网站声明
国家哲学社会科学文献中心版权所有