Kirschenbaum M A
J Urol. 1979 May;121(5):687-8. doi: 10.1016/s0022-5347(17)56942-6.
A case is presented in which the absorption of mannitol irrigation solution across prostatic veins resulted in severe hyponatremia in a patient undergoing transurethral prostatic resection. Since hyposmolality of the extracellular fluid was not seen because of the presence of mannitol the patient was asymptomatic despite a rapid decrease in the serum sodium concentration to 99 mEq./l. The importance of distinguishing dilutional hyponatremia from hyponatremia with normal or elevated osmolality is discussed.
本文报告一例经尿道前列腺切除术患者，其甘露醇冲洗液经前列腺静脉吸收导致严重低钠血症。由于甘露醇的存在，细胞外液未出现低渗状态，尽管血清钠浓度迅速降至99 mEq./l，但患者并无症状。文中讨论了区分稀释性低钠血症与渗透压正常或升高的低钠血症的重要性。
