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頁籤選單縮合
題 名 | Acute Hyponatremic Encephalopathy after Preparation of Colonscopy=大腸鏡檢清腸準備導致急性低血鈉腦病變 |
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作 者 | 陳信志; 陳俊吉; 朱柏齡; 趙培傑; 林石化; | 書刊名 | Journal of Medical Sciences |
卷 期 | 26:1 民95.02 |
頁 次 | 頁33-36 |
分類號 | 416.245 |
關鍵詞 | 大腸鏡; 低血鈉; 腦病變; Acute hyponatremia; Colonoscopy; Encephalopathy; |
語 文 | 英文(English) |
英文摘要 | Acute hyponatremic encephalopathy is an often-overlooked medial emergency that can arise during preparation for colonoscopy. Two elderly women presented to our emergency department with neurological symptoms including vomiting, headache, light-headedness, bizarre behavior, confusion, incoherent speech, and muscle twisting lasting for hours. Computerized tomography of the brain showed no obvious organic brain lesions. The most striking biochemical abnormality was hyponatremia; serum sodium (Na﹢) concerntrations were 116 mmol/L in one case and 118 mmol/L in the other. The blood urea nitrogen and creatinine concentrations were low, and the urine osmolality was inappropriately high (563 and 403 mOsm/kg.H₂O). Correction of the hyponatremia with 3% saline at a rate of 150 mL/h for 6 h completely resolved the clinical symptoms. Upon inquiring of their histories, both cases admitted ingesting excessive water (5-6 L) during the prearation for colonoscopy for suspected carcinoma of the colon. Acute hyponatremia should be considered as a possible cause of neuropsychological symptoms during preparation for colonoscopy. Patients should be educated about the appropriate level of water ingestion to avoid acute hyponatremia during preparation for colonoscopy. |
本系統中英文摘要資訊取自各篇刊載內容。