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术中尿液颜色变化:警惕一种临床情况!

Intraoperative Change in Urine Color: Be Cautious for a Clinical Entity!

作者信息

Puri Sidharth, Garg Rakesh

机构信息

is a senior resident in the Department of Onco-anaesthesia and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

is an assistant professor in the Department of Onco-anaesthesia and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences.

出版信息

AANA J. 2019 Feb;87(1):26-28.

PMID:31587740
Abstract

A change in urine color is an unusual intraoperative occurrence, which can be distressing for the anesthesia provider. Abnormal changes in color are generally benign effects of medications and foods; however, a change in urine color may be a sign of an underlying pathologic condition. Methylene blue, a nonpathogenic, water-soluble, commonly used dye for diagnostic tests, has on rare occasions, been reported to discolor urine green intraoperatively or postoperatively. We report on a patient who produced green discoloration of urine intraoperatively after methylene blue administration, which was benign and resolved spontaneously.

摘要

尿液颜色改变是术中不常见的情况,这可能会让麻醉医生感到困扰。颜色的异常变化通常是药物和食物的良性作用;然而,尿液颜色改变可能是潜在病理状况的一个迹象。亚甲蓝是一种用于诊断测试的无毒、水溶性常用染料,很少有报道称其在术中或术后会使尿液变绿。我们报告了一名患者,在给予亚甲蓝后术中出现尿液变绿的情况,这是良性的且自行消退。

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