Shioya Nobuki, Ishibe Yoriko, Shibata Shigehiro, Makabe Hideyuki, Kan Shigenori, Matsumoto Naoya, Takahashi Gaku, Yamada Yasuhiko, Endo Shigeatsu
Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan.
Case Rep Emerg Med. 2011;2011:242514. doi: 10.1155/2011/242514. Epub 2011 Dec 27.
We present a 19-year-old man who excreted green urine after propofol infusion. The patient was admitted to our hospital for injuries sustained in a traffic accident and underwent surgery. After starting continuous infusion of propofol for postoperative sedation, his urine became dark green. Serum total bilirubin and urine bilirubin were both elevated. We believe that the green discoloration of the urine was caused by propofol infusion and was related to impaired enterohepatic circulation and extrahepatic glucuronidation in the kidneys.
我们报告一名19岁男性,在输注丙泊酚后排出绿色尿液。该患者因交通事故受伤入院并接受了手术。在开始持续输注丙泊酚进行术后镇静后,他的尿液变成深绿色。血清总胆红素和尿胆红素均升高。我们认为尿液的绿色变色是由丙泊酚输注引起的,并且与肝肠循环受损和肾脏肝外葡萄糖醛酸化有关。