거대 간내 낭종을 가진 환자에서 마취유도시 경험한 기능성 부신부전
Functional Adrenal Insufficiency in a Patient with Huge Intra-Hepatic Cyst during Induction of Anesthesia
An obese, 65 years old woman admitted to the department of orthopedics for total knee replacement arthroplasty under the diagnosis of severe degenerative arthritis and pain of both knee joints. Incidentally, an asymptomatic huge hepatic cyst (size 25 × 27 cm) was found in the pre-operative check ups. During the induction of general anesthesia, severe hypotension and intractable atrial fibrillation with RVR suddenly developed. Initially, various tilting positions together with rapid fluid replacement were tried immediately considering the clinical features as supine hypotensive episode, but with little improvement of clinical situation. Then, a bolus of intravenous hydrocortisone succinate 100 mg was tried empirically, resulting in the immediate normalization of blood pressure. Her laboratory findings after the incidence showed decreased blood cortisol level, but ACTH stimulation test was within normal limits. We concluded the case, clinically, as functional adrenal insufficiency and report the case with the reviews of related articles. (Korean J Anesthesiol 2004; 47: 603~7)
- 원문이 없습니다.
- 원문이 없습니다.
유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.
원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.