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盲肠膀胱扩大术后并发肾衰竭伴严重高钠血症

Extreme hypernatraemia in association with renal failure following caecocystoplasty.

作者信息

Walker W S, Thurston C J

出版信息

Postgrad Med J. 1984 Oct;60(708):700-1. doi: 10.1136/pgmj.60.708.700.

Abstract

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.

摘要

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。

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本文引用的文献

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The migration of sodium, chloride, and potassium ions across the mucous membrane of the ileum.
Br J Surg. 1955 Jan;42(174):357-67. doi: 10.1002/bjs.18004217403.
4
Replacement of the ureter by small intestine: clinical application and results of the ileal ureter.
J Urol. 1959 Mar;81(3):406-18. doi: 10.1016/S0022-5347(17)66035-X.
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Hypernatremia complicating partial urinary-tract obstruction.
N Engl J Med. 1970 Oct 1;283(14):746-8. doi: 10.1056/NEJM197010012831407.
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Hypernatremic (hypertonic) dehydration in infants.婴儿高钠血症(高渗性)脱水
N Engl J Med. 1973 Jul 26;289(4):196-8. doi: 10.1056/NEJM197307262890407.

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