[Case of severe XXXX during emergency surgery caused by long-term administration of Shakuyaku-kanzo-to].

@entity1 @entity5838 @entity821 @entity1369 @entity11950 @entity598 @entity3157 @entity854 @entity1875 @entity880 @entity547 @entity701 @entity2827 @entity19966 @entity1371 @entity1937
An 82-year-old female underwent emergency surgery for right femoral @entity547 under general anesthesia. Anesthesia was induced and maintained with @entity1937 and @entity1875 . Her laboratory data showed severe @entity1371 (1.83 mEq x l(-1)) and @entity5838 (HCO3 36.9 mmol x l(-1)). We suspected that the causes of such abnormalities were due to an @entity854 , but we could not ascertain the actual cause. Drip infusion of @entity2827 and saline solution infusion, to avoid supplying @entity880 or @entity598 , the source of @entity3157 ions, were chosen for palliative treatment. No adverse event occurred during surgery. After surgery, endocrinological functions were examined. Primary aldosteronism was ruled out because serum @entity1369 and rennin activity were within normal ranges. The @entity1 had been taking a Kampo preparation, Shakuyaku-kanzo-to, for two years. @entity11950 , the main component of Shakuyaku-kanzo-to, has been reported to be a cause of @entity19966 by inhibiting the enzyme converting @entity701 to @entity821 . With these findings we confirmed that severe @entity1371 was induced by @entity19966 by long-term administration of Shakuyaku-kanzo-to.
