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Authors:
Camara Mohamed, Camara Soriba Naby, Camara Alpha Kabinet, Kaba Lamine, Souare Ibrahima Sory, Camara Yakhouba, Makanera Abdoulaye, Fofana Husseine, Diakité Sandaly, Balde Abdoulaye Korse, Balde Oumar Taibata, Camara Mariame, Toure Aboubacar, Diallo Aïssatou Taran, Diallo Biro, Guinea
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Abstract:
The goal of this work and to make our contribution
to the study of hydro electrolytic disorders in programmed surgery at the friendship
hospital of the Sino-Guinean of Kipe Republic of Guinea.
Many hydro-electrolytic disorders can
complicate the evolution of patients in planned surgery but also in
neuro reanimation. Most often, they affect the metabolism of sodium or potassium
but can also concern that of calcium or magnesium.
Methodology, we made a study
prospective over a period of
3 months going from February 1 to April
31 inclusive. It was carried out in the departments of visceral surgery, trauma
of neurosurgery and the laboratory of biomedical analysis.
All patients admitted to planned
surgery, having carried out examinations in connection with hydro electrolytic
disorders were included in our study. We analyzed the following electrolytes:
sodium (135mmol / l-145mmol / l), potassium (3.5mmol / l-5mmol / l), calcium
(2.20mmol / l-2.6mmo / l) and magnesium. (0.65mmol/l-0.9mmo/l).
Results We had 125
patients undergoing scheduled surgery. Among them, 25 patients developed hydro electrolytic
disorders before and immediately after surgery.
We noted 17 cases in visceral surgery, 5
cases in neurosurgery, and 3 cases in trauma.
The analysis of different electrolytes
in pre and post-operative us possible to achieve the results the following:
Serum
chloride low in 1 patient postoperatively, the serum potassium high in 5
patients in preoperative and low in 2 patients in post-operative, the serum
calcium elevated in 2 patients in preoperative and low in 4 patients in
postoperative, the magnesium levels elevated at 5 pre-operative patients and
never disturbed in zero post-operative patients, elevated blood level in 11
pre-operative patients and decreased in 2 post-operative patients.
Conclusion l es
electrolyte disturbances are frequent on admission in planned surgery. Their
occurrence during hospitalization is most often due to an overcorrection or
rarely to an insufficient correction.
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