Kim Hwan Hee, Hwang Jin Young, Jeon Young Tae, Hwang Jung Won, Do Sang Hwan, Na Hyo Seok
Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.
Korean J Anesthesiol. 2009 Nov;57(5):629-632. doi: 10.4097/kjae.2009.57.5.629.
Hysteroscopy is frequently used to assist the diagnosis and treatment of a series uterine diseases. However, complications associated with the procedure including fluid overload, hyponatremia, hypo-osmolality, hemorrhage, uterine perforation, and air embolism have been reported. The incidence of fluid overload with hyponatremia during hysteroscopic procedures has been reported to be up to 6% and it can probe fatal. Thus, early recognition of this condition and prompt intervention thereof is important to prevent adverse sequelae. Here, we report a case of hyponatremia with incidental fluid overload during hysteroscopy. We detected the signs of complication early on and were thus able to manage it promptly without any resulting adverse sequelae.
宫腔镜检查常用于辅助诊断和治疗一系列子宫疾病。然而，与该手术相关的并发症，包括液体超负荷、低钠血症、低渗透压、出血、子宫穿孔和气栓等均有报道。据报道，宫腔镜手术期间液体超负荷伴低钠血症的发生率高达6%，且可能是致命的。因此，早期识别这种情况并及时进行干预对于预防不良后果很重要。在此，我们报告一例宫腔镜检查期间偶然发生液体超负荷伴低钠血症的病例。我们早期发现了并发症的迹象，因此能够迅速进行处理，未产生任何不良后果。
