肝包虫囊肿高渗盐水冲洗后出现致命性高钠血症。
Fatal hypernatraemia after hypertonic saline irrigation of hepatic hydatid cysts.
作者信息
Krige J E J, Millar A J W, Rode H, Knobel D
机构信息
Department of Surgery, University of Cape Town, Medical School, Observatory 7925, Cape Town, South Africa.
出版信息
Pediatr Surg Int. 2002 Jan;18(1):64-5. doi: 10.1007/s003830200015.
A 7-year-old boy with hepatic hydatid cysts developed fatal hypernatraemia after surgery for cyst removal where 20% hypertonic saline (HS) was used as a scolicidal agent. Symptoms of generalised seizures, tachycardia, and hypotension developed within 6 h of surgery. Serum electrolytes confirmed hypernatraemia (170 mmol/l) and hyperchloraemia (141 mmol/l). Despite attempts at resuscitation, he died 20 h later. The literature is reviewed, emphasising the potential dangers of the use of HS and the clinical presentation and appropriate management of hypernatraemia.
一名患有肝包虫囊肿的7岁男孩在接受囊肿切除手术后出现致命性高钠血症，手术中使用20%高渗盐水（HS）作为杀头节剂。术后6小时内出现全身惊厥、心动过速和低血压症状。血清电解质检查证实存在高钠血症（170 mmol/L）和高氯血症（141 mmol/L）。尽管进行了复苏尝试，但他在20小时后死亡。本文对相关文献进行了综述，强调了使用HS的潜在危险以及高钠血症的临床表现和恰当处理方法。
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