雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

METABOLIC ALKALOSIS IN CONVALESCENCE OF HEAD INJURY Tohru WATANABE 1 , Yuzo FUJITA 1 , Tetsumi MITANI 1 1Division of Neurosurgery, Kokura Memorial Hospital pp.953-958
Published Date 1968/9/1
DOI https://doi.org/10.11477/mf.1406202438
  • Abstract
  • Look Inside

Five patients were selected who had head injury and had been in coma or semicoma for over 21 hours. Acid-base balance of these patients were studied when they were recovering from unconscious state. All of these cases had no apparent damage in other organs at the time of injury and survived without developing any serious change on vital signs following the admission.

When their consiousness level recovered to the state that they were able to answer on calling their names, results of their blood gas analysis were PH> 7.42, PCO2=35-45mmHg and BE> +2.3 mEq/L (metabolicalkalosis). In many cases respiratory alka-losis was combined at the same time. Occasionally respiratory acidosis was associated. Acid-base balance of these patients became normal as their consciousness and neurological condition recovered.

As for the cause of this metabolic alkalosis, a con-sideration was made on the possibility of hypokalmia which occur on the convalescence of acute renal tubular necrosis.


Copyright © 1968, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

関連文献

もっと見る

文献を共有