예방적으로 투여한 Frosemide가 경요도 전립선 절제술후 전해질 및 삼투질 농도의 변화에 미치는 경향
The Post-Turp Change of the Serum Electrolyte and Osomolality by Preoperative Administration of Furosemide
소속 상세정보
홍창덕
이헌춘/황성운/박재신/김봉일/김갑병
KMID : 0358319920330061080
Abstract
To see the effectiveness of preoperatively administered furosemide for preventing hypoosmolality and hyponatremia during TURP, 30 patients undergoing TURP were followed every preoperatively, 30 min intraoperatively as well as immediate
postoperatively 6
hours and 24 hours postoperatively with measurement of serum sodium serum potassium and serum osomolality. Among the 30 patients, 15 patients (experimental group) were administered furosemide immediately before TURP, the other 15 patients
(control
group) were not administered. We compared the changes of serum sodium, serum potassium and osmolality of experimental group with those of control group. The result showed that the serum sodium and osmolality were decreased significantly (p<0.01)
in
control group, but wee not decreased significantly in experimental group. Thus, the preoperatively administered furosemide may prevent the dilutional hyponatremia and hypoosmolality during TURP, and may be helpful in high risk patient such as
congestive
heart failure and poor renal function.
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