Serocki G, Hanss R, Bauer M, Scholz J, Bein B
Klinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein UKSH, Campus Kiel, Schwanenweg 21, 24105 Kiel, Deutschland.
Anaesthesist. 2009 Jan;58(1):30-4. doi: 10.1007/s00101-008-1446-3.
Fluid overload and dilutional hyponatremia are rare but typical complications of endoscopic transurethral resection of the prostate gland (TURP syndrome). Less commonly, this complication caused by excessive absorption of hypotonic, electrolyte-free non-conductive distention solution, may also occur during endoscopic surgery of the uterus, e.g. operative hysteroscopy. A case report is presented of a 44-year-old woman scheduled for operative hysteroscopy for intracavital myoma under general anaesthesia, suffering from severe absorption syndrome leading to hyponatremia of 106 mEq/l and pulmonary edema necessitating subsequent admission to ICU. Anatomical and physiological as well as technical aspects of this syndrome are discussed. Recommendations for anesthesiology management are offered and a possible treatment of acute hyponatremia is discussed.
液体超负荷和稀释性低钠血症是经尿道前列腺电切术（TURP综合征）罕见但典型的并发症。较少见的是，由低渗、无电解质的非导电膨胀液过度吸收引起的这种并发症也可能发生在内镜子宫手术中，如宫腔镜手术。本文报告一例44岁女性，计划在全身麻醉下进行宫腔镜手术切除腔内肌瘤，该患者出现严重的吸收综合征，导致血钠浓度降至106 mEq/l，并引发肺水肿，随后需要入住重症监护病房。本文讨论了该综合征的解剖学、生理学以及技术方面。提供了麻醉管理的建议，并讨论了急性低钠血症的可能治疗方法。
