Walker W S, Thurston C J
Postgrad Med J. 1984 Oct;60(708):700-1. doi: 10.1136/pgmj.60.708.700.
A case of extreme hypernatraemia (serum sodium 212 mmol/l) occurring in association with renal failure following a caecocystoplasty procedure is reported. The causative factors in extreme hypernatraemia are reviewed and an unusual reabsorptive mechanism via the transposed intestinal segment is proposed to explain the degree of hypernatraemia present in this case.
报道了1例回盲部膀胱扩大成形术后发生肾衰竭并伴有极度高钠血症(血清钠212 mmol/L)的病例。回顾了极度高钠血症的致病因素,并提出了一种通过移植肠段的异常重吸收机制来解释该病例中高钠血症的程度。