간이식 수술 후 중심성 뇌교 수초 용해증이 발생한 환자들의 혈중 나트륨 농도의 관찰 - 증례 보고

Hyponatremia is common in end stage liver disease and central pontine myelinolysis (CPM) can occur after the rapid correction of hyponatremia. The blood sodium concentration can increase rapidly during the perioperative period of liver transplantation due to the administration of sodium-containing fluids and blood products. We experienced 5 cases of CPM after liver transplantation. Major changes in the blood sodium concentrations occurred during surgery in the first 3 cases while these changes occurred after surgery in the last 2 cases. We reviewed the blood sodium concentrations of these 5 patients and speculated on the correlation of CPM with a rapid increase in the blood sodium concentration. (Korean J Anesthesiol 2006; 50: 469～73) KCI Citation Count: 3