Severe intraoperative hyponatremia associated with the absorption of irrigation fluid during hysteroscopic myomectomy: a case report

被引:9
作者
Woo, Young Cheol [1 ]
Kang, Hyun [1 ]
Cha, Su Man [1 ]
Jung, Yong Hun [1 ]
Kim, Jin Yun [1 ]
Koo, Gill Hoi [1 ]
Park, Sun Gyoo [1 ]
Baek, Chong Wha [1 ]
机构
[1] Chung Ang Univ, Coll Med, Dept Anesthesiol & Pain Med, 224-1 Heukseok Dong, Seoul 156755, South Korea
关键词
Continuous renal replacement therapy; Hypertonic saline; Hyponatremia; Hysteroscopy; Irrigation fluid; NONCARDIOGENIC PULMONARY-EDEMA; TRANSURETHRAL RESECTION; BRAIN-DAMAGE; MANAGEMENT; ENCEPHALOPATHY; COMPLICATIONS;
D O I
10.1016/j.jclinane.2011.03.003
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
A case of severe hyponatremia with accompanying pulmonary edema and cardiovascular instability during a hysteroscopic myomectomy with general anesthesia is presented. The patient's sodium value decreased to 87 mmol/L. She was managed with aggressive maneuvers, including an infusion of 3% hypertonic saline. The patient's serum sodium increased to 113 mmol/L at the end of the operation, and it was increased up to 138 mmol/L at 48 hours. The patient recovered completely without neurologic sequelae. (C) 2011 Elsevier Inc. All rights reserved.
引用
收藏
页码:649 / 652
页数:4
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