Hypoglycemic coma after cardiac surgery
作者:
ANTONIO,
CRIADO ELENA,
DOMINGUEZ JUAN,
CARMONA JUAN,
GOMEZ-ARNAU FERNANDO,
期刊:
Critical Care Medicine
(OVID Available online 1984)
卷期:
Volume 12,
issue 4
页码: 409-410
ISSN:0090-3493
年代: 1984
出版商: OVID
数据来源: OVID
摘要:
Hypoglycemic coma occurring 5 h after cardiac surgery in a nondiabetic adult patient was primarily triggered by: low cardiac output leading to severe hepatic functional derangement; metabolic acidosis, probably secondary to peripheral hypoperfusion; and possible inhibition of the adrenergic response due to anesthesia with fentanyl. Glucose infused at 8 g/h progressively increased the blood glucose level and paralleled hemodynamic improvement.
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