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原著
尿管切石術後にテタニー様症状を呈した1例
TETANIC EQUIVALENTS AFTER URETEROLITHOTOMY: A CASE REPORT
板谷 興治
1
,
脇本 賢次
2
,
三林 裕
3
Kohji Itaya
1
,
Kenji Wakimoto
2
,
Hiroshi Miyabayashi
3
1舞鶴共済病院泌尿器科
2舞鶴共済病院内科
3金沢大学医学部第2内科
1Department of Urology, Maizuru Kyosai Hospital
2Department of Internal Medicine, Maizuru Kyosai Hospital
3The 2nd Department of Internal Medicine, School of Medicine, Kanazawa University
pp.889-893
発行日 1974年12月20日
Published Date 1974/12/20
DOI https://doi.org/10.11477/mf.1413201886
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緒言
術後合併症には多彩な症状を呈するものが少なくないが,われわれは尿管切石術後にテタニー様症状を呈した症例を経験したので,ここに報告する。
A right ureterolithotomy was performed in a 66 year old male for acute renal failure [BUN 71 mg/dl, creatinine 6. 9mg/dl, K 6. 8mEq/L, PSP 2% (15min.), 9. 5% (120min.)] due to incarceration of right ureteral stone and its colicky pain. Postoperative polyuria and sudden correction of acidosis resulted in tetanic equivalents such as unconsciousness after pressure feeling of the chest, violent move-ment of the whole body complaining pain, convulsive seizure of extremity, violently stimulated by slight irritation.
Copyright © 1974, Igaku-Shoin Ltd. All rights reserved.