Nomura Hironori, Kou Yohko, Kinjyo Takanori, Nonomura Daichi, Yoneda Suguru, Yamamoto Yoshiyuki, Tei Norihide, Takada Shingo, Matsumiya Kiyomi
The Department of Urology, Osaka Police Hospital, Japan.
Hinyokika Kiyo. 2013 Aug;59(8):535-8.
A 64-year-old man visited our hospital with the complaint of macrohematuria and bilateral hydronephrosis. He had undergone total cystectomy and ileal neobladder replacement under the diagnosis of muscle invasive bladder cancer (cT2bN0M0). Tetany due to hyperventilation syndrome appeared on postoperative day 42. Blood gas analysis showed metabolic acidosis (pH 7.260, pO2 148.1 mmHg, pCO2 20.7 mmHg, HCO3 9.1 mmHg, BE -16.0 mmol/l). His condition was immediately improved after a urethral catheter was placed and sodium bicarbonate was administered. After re-removal of the urethral catheter, however, hyperventilation syndrome recurred. He was discharged from the hospital with the urethral catheter placed.
一名64岁男性因肉眼血尿和双侧肾积水前来我院就诊。他曾因肌层浸润性膀胱癌（cT2bN0M0）接受了全膀胱切除术和回肠新膀胱置换术。术后第42天出现因过度通气综合征导致的手足搐搦。血气分析显示代谢性酸中毒（pH 7.260，pO2 148.1 mmHg，pCO2 20.7 mmHg，HCO3 9.1 mmHg，BE -16.0 mmol/l）。插入尿道导管并给予碳酸氢钠后，他的病情立即得到改善。然而，再次拔除尿道导管后，过度通气综合征复发。他带着插入的尿道导管出院了。
