Yamane Masahiro, Asayama Naoki, Saino Masachika, Masuda Satoshi, Nomura Risa, Shigita Kenjiro, Aoyama Taiki, Fukumoto Akira, Mukai Shinichi, Nagata Shinji
Department of Gastroenterology, Hiroshima City North Medical Center Asa Citizens Hospital.
Department of Endoscopy, Hiroshima City North Medical Center Asa Citizens Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2022;119(9):846-852. doi: 10.11405/nisshoshi.119.846.
Symptomatic hyponatremia due to bowel preparation is extremely rare, but it can cause severe neurological symptoms and require hospitalization. We report our experience with two cases of symptomatic hyponatremia after bowel preparation. Our findings suggest that the cause of hyponatremia may be not only oral bowel cleansing agents but also high fluid intake. Adjusting the dose and pace of oral bowel cleansing agents and fluid intake;rehydration should be considered to prevent any recurrences.
因肠道准备导致的症状性低钠血症极为罕见，但可引起严重的神经症状并需要住院治疗。我们报告了两例肠道准备后症状性低钠血症的病例。我们的研究结果表明，低钠血症的原因可能不仅是口服肠道清洁剂，还包括大量饮水。应调整口服肠道清洁剂的剂量和速度以及饮水量；应考虑补液以防止再次发生。
