Latif Azka, Thirumalareddy Joseph, Sood Akshat, Nair Sunil, Tauseef Abubakar
Internal Medicine, CHI Creighton University, Omaha, USA.
Hospital Medicine, Creighton University School of Medicine, St. Joseph's Hospital and Medical Center, Omaha, USA.
Cureus. 2020 Dec 17;12(12):e12132. doi: 10.7759/cureus.12132.
Radiation cystitis can present as gross hematuria and occurs secondary to irritation of the bladder urothelium. Continuous bladder irrigation (CBI) is commonly used for the treatment of hemorrhagic cystitis for evacuation of blood clots and to maintain catheter drainage. Most commonly, CBI is performed using 0.9% sodium chloride. We report a 77-year-old female who developed hyperchloremic non-anion gap metabolic acidosis (H-NAGMA) and pulmonary edema secondary to absorption of 0.9% normal saline (NS) from CBI. In such cases, ringer lactate with low concentration (109 mEq) of chloride as compared to NS (154 mEq) can prove to be a suitable alternative.
放射性膀胱炎可表现为肉眼血尿，继发于膀胱尿路上皮受到刺激。持续膀胱冲洗（CBI）常用于治疗出血性膀胱炎，以清除血凝块并维持导尿管引流。最常用的是使用0.9%氯化钠进行持续膀胱冲洗。我们报告了一名77岁女性，她因持续膀胱冲洗吸收0.9%生理盐水（NS）继发高氯性非阴离子间隙代谢性酸中毒（H-NAGMA）和肺水肿。在这种情况下，与生理盐水（154 mEq）相比，含低浓度（109 mEq）氯化物的乳酸林格液可能是一种合适的替代选择。
