고칼륨혈증의 교정을 위해 인슐린과 50% 포도당 증류수를 투여한 만성 신부전환자에서 척추마취 후 발생한 급성 중증 저혈당

• 영문명: Acute Severe Hypoglycemia after Spinal Block in Chronic Kidney Disease Patient treated Insulin with 50% Dextrose for Hyperkalemia
• 발행기관: 조선대학교 의학연구원
• 저자명: 안태훈(Tae Hun An) 박경희(Kyung Hee Park) 임용석(Yong Seok Lim) 조재형(Jae Hyoung Cho) 서영중(Young Joong Suh)
• 간행물 정보: 『The Medical Journal of Chosun University』제40권 제2호, 49~51쪽, 전체 3쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.06.30

영문 초록

This is the case report of a 58-year-old man who developed acute severe hypoglycemia after a spinal block. He had a history of injecting insulin combined with 50% dextrose for hyperkalemia control. After the spinal block, he presented with hypoglycemic symptoms and went into convulsions. Following injection of midazolam and 10 ml of 50% dextrose, his mental state returned to alert. We recommend careful monitoring of blood sugar level of chronic kidney disease patients who undergo neuraxial block.

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키워드

Hyperkalemia Hypoglycemia Spinal block Chronic kidney disease Midazolam Bupivacaine