Convulsion, Symptomatic Hyponatremia and Paralytic Ileus Following Tonsillectomy: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 101-105, 2005.
Article
de Ko
| WPRIM
| ID: wpr-79904
Bibliothèque responsable:
WPRO
ABSTRACT
Severe symptomatic hyponatremia shows high mortality in association with cerebral edema and central nervous system dysfunction. Postoperative hyponatremia is usually attributed to administration of hypotonic fluids while antidiuretic hormone is acting. However, we experienced a severe symptomatic hyponatremia in spite of infusion of lactated Ringer's solution perioperatively in a case of 4-year-old girl's tonsillectomy. Inappropriate secretion of ADH caused by pain, stress, anxiety, nausea, vomiting. Paralytic ileus developed several hours after surgery, severe hyponatremia (Na 119 mmol/L) with convulsion notified. After prompt infusion of sodium supplement and fluid restriction, the patient recovered uneventfully.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Anxiété
/
Crises épileptiques
/
Sodium
/
Amygdalectomie
/
Vomissement
/
Pseudo-obstruction intestinale
/
Oedème cérébral
/
Système nerveux central
/
Mortalité
/
Hyponatrémie
Type d'étude:
Diagnostic_studies
/
Prognostic_studies
Limites du sujet:
Child, preschool
/
Humans
langue:
Ko
Texte intégral:
Korean Journal of Anesthesiology
Année:
2005
Type:
Article