摘要
To summarize the clinical experience of central pontine myelinolysis (MPM) after liver transplantation.Methods The clinical data of three cases of CPM after liver transplantation in our hospital were analyzed retrospectively.Results The first case manifested disorientation,clonic jerks in all limbs,and soon fell into coma at 18th day after liver transplantation.No obvious electrolyte abnormality was observed before and after the symptom.The second one presented with coma at 6th day after operation,who had hyponatremial history record before coma attack.The third one developed confusion,delusion of persecution and coma at 7th after transplantation.The blood electrolyte was within the normal range before and after the symptom occurred.All the three cases were diagnosed as CPM by magnetic resonance image (MRI) and died in the end.Conclusion CPM is a multifactorial progress and the mortality rate is high.MRI is the first choice in the diagnosis of it.6 refs.
To summarize the clinical experience of central pontine myelinolysis (MPM) after liver transplantation.Methods The clinical data of three cases of CPM after liver transplantation in our hospital were analyzed retrospectively.Results The first case manifested disorientation,clonic jerks in all limbs,and soon fell into coma at 18th day after liver transplantation.No obvious electrolyte abnormality was observed before and after the symptom.The second one presented with coma at 6th day after operation,who had hyponatremial history record before coma attack.The third one developed confusion,delusion of persecution and coma at 7th after transplantation.The blood electrolyte was within the normal range before and after the symptom occurred.All the three cases were diagnosed as CPM by magnetic resonance image (MRI) and died in the end.Conclusion CPM is a multifactorial progress and the mortality rate is high.MRI is the first choice in the diagnosis of it.6 refs.
出处
《外科研究与新技术》
2005年第3期216-216,共1页
Surgical Research and New Technique
