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MUSCLE WATER AND ELECTROLYTES AFTER URETEROCOLIC ANASTOMOSIS
Author(s) -
Graham J. A.
Publication year - 1970
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.1970.tb04504.x
Subject(s) - potassium , acidosis , medicine , muscle biopsy , critically ill , sodium , electrolyte , dehydration , extracellular fluid , electrolyte imbalance , water electrolyte balance , anesthesia , extracellular , gastroenterology , biopsy , chemistry , biochemistry , organic chemistry , electrode
SUMMARY The fluid and electrolyte imbalance in hyperchloraemic acidosis following ureterocolic anastomosis has been measured using a muscle biopsy technique. Three acutely ill patients and 5 with well controlled symptoms have been studied (including repeat biopsy on 2 ill patients after recovery). All the acutely ill patients had marked intracellular dehydration, but in general there was an expansion of the extracellular water, sodium and chloride contents, the usual findings in chronic renal failure. Muscle potassium contents were reduced in the ill patients, but varied in the well‐controlled patients from low to high normal values. Large amounts of potassium are required in the treatment of patients severely ill with hyperchloraemic acidosis, but the value of long‐term potassium therapy in well‐controlled cases is doubtful.