van Daele P L, Quero Guillen J C, Lesterhuis W, Van Der Meulen J
Merwede Ziekenhuis, afd. Inwendige Geneeskunde en Gastro-enterologie, Dordrecht.
Ned Tijdschr Geneeskd. 1998 Oct 31;142(44):2414-5.
A man aged 81 with bilateral hydronephrosis presented with lethargy deepening into coma caused by hyperammonaemia. The hyperammonaemia was most likely caused by excessive absorption of ammonia produced by Proteus mirabilis in the obstructed and dilated urinary tract. The patient died within a few hours.
一名81岁患有双侧肾积水的男性，因高氨血症出现嗜睡并逐渐陷入昏迷。高氨血症很可能是由奇异变形杆菌在梗阻扩张的尿路中产生的氨过度吸收所致。患者在数小时内死亡。
