Charters P
Anaesthesia. 1981 Feb;36(2):199-204. doi: 10.1111/j.1365-2044.1981.tb08725.x.
Renal failure is common in patients with diabetes mellitus, and renal transplantation has been used in its treatment. There are indications that the operation may be hazardous in these circumstances, and a report is presented in which careful biochemical monitoring of a diabetic patient undergoing transplantation revealed two episodes of hyperkalaemia which might go some way to explain the hazards of this operation. The relevance of the concept of glucose-induced hyperkalaemia is discussed and it is suggested that intravenous infusion of insulin during and after operation might have decreased the rises in serum potassium. The report emphasises the need for careful biochemical monitoring of diabetics undergoing renal transplantation.
肾衰竭在糖尿病患者中很常见，肾移植已被用于其治疗。有迹象表明，在这些情况下手术可能有风险，本文报告了对一名接受移植的糖尿病患者进行仔细的生化监测，发现有两次高钾血症发作，这可能在一定程度上解释了该手术的风险。文中讨论了葡萄糖诱导的高钾血症概念的相关性，并建议在手术期间和术后静脉输注胰岛素可能会减少血清钾的升高。该报告强调了对接受肾移植的糖尿病患者进行仔细生化监测的必要性。
