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

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2011年 / 23卷 / 08期

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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