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KMID : 0356919930260051051
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Korean Journal of Anesthesiology
1993 Volume.26 No. 5 p.1051 ~ p.1054
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A Case Report of Anesthesia for Subtotal Pancreatectomy in a Patient with Nesidioblastosis
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전은희
김종욱/공명훈/임혜자/채병국/장성호
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Abstract
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Nesidioblastosis is a disease characterized clinically by persistent hypoglycemia with inappropriately elevated circulating insulin concentration. Adequate early diagnosis should be established and subtotal pancreatectomy performed before
irreversible
cerebral damage caused by glucose deficit. The authors got a chance to anesthetize 55-day-old male patient for subtotal pancreatectomy because of nesidioblastosis. Following and induction of anesthesia was performed and anesthesia was maintained
with
intravenous thiopental sodium 5 mg/kg and succinylcholine 1 mg/kg, endotracheal intubation was performed and anesthesia was maintained with pancuronium bromide and O2-N2O-enflurane. Intravenous fluid was maintained with 1-2-3 solution 30 ml and
15%
D/W
40 ml mixed with 20 ml of 20 mEq/L NaCl.
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KEYWORD
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