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HYPOKALÆMIC PARESES AFTER BILATERAL URETEROSIGMOIDOSTOMY, and TREATMENT OF A CASE
Author(s) -
Steinbeck A. W.,
Tyrer J. H.
Publication year - 1959
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1959.tb09418.x
Subject(s) - ureterosigmoidostomy , medicine , hypokalemia , acidosis , surgery , potassium , respiratory acidosis , sodium , anesthesia , chemistry , cancer , bladder cancer , cystectomy , organic chemistry
SUMMARY Repeated, extensive, hypokalemic pareses after ureterosigmoidostomy are uncommon. A case with attacks of quadriplegia and respiratory embarrassment is reported and some features of the pareses are discussed. Sodium as well as potassium wastage occurred, and the patient had a hyperchloramic acidosis. Treatment consisted of 82 and 74 mEq. sodium and potassium daily, as citrates. For two and a half years this treatment has prevented recurrences of the pareses, with improvement of his general health, and has substantially controlled the hyperchloramic acidosis.