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流行性出血熱患者에 있어서 치료전후의 電解質變動에 關한 硏究
李鍾錫,金文子,宋康正,李學重 최신의학사 1975 最新醫學 Vol.18 No.2
Study was made on 10 cases of electrolyte changes before and after treatment in hemorrhagic fever which were abserved at the National Medical Center from Sept. 1, 1973 to May 31, 1974. 1) On admission, the average serum sodium was 122.8mEq, potassium 5.8mEq, chloride 78.3 mEq and bicarbonate 16.OmEq per liter. The average serum creatinine was 9.15mg, urea nitrogen 79.4mg per 100m1. 2) The blood urea nitrogen 79.4mg per100ml before treatment decreased to 74. 2mg, 72. lmg, and 58.4mg per 100ml on the 2nd, 3rd and 7th day respectively. 3) The creatinine 9.15 per 100ml before treatment decreased to 7.6mg, 7.6mg and 3.97mg per 100ml on the 2nd, 3rd and 7th day respectively. 4) The potassium 5.8mEq per liter before treatment decreased to 4.93mEq, 4.93 mEq and 5.2mEq per liter on the 2nd, 3rd and 7th day respectively. 5) 2 cases were performed with peritoneal dialysis and then one case recovered, the other case expired in spite of peritoneal dialysis. The blood urea nitrogen 106mg, creatinine 12.2mg per 100ml decreased to 60mg(56.6%), 8.5mg (8. 24%) per 100ml after peritoneal dialysis in recovery case. The blood urea nitrogen 71.0mg, creatinine 15.4mg per lOOml on admission elevated to 90mg, 19.0mg per 100ml, and then the potassium 6.7mEq per liter elevated to 8. OmEq per liter in spite of peritoneal dialysis in expired case.