在接受宫腔镜子宫肌瘤切除术的女性中发生危及生命的急性水中毒：病例报告及文献复习。
Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature.
机构信息
Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Division of Nephrology, Department of Medicine, Tri Service General Hospital, Pen-Hu Branch, Peng-Hu, Taiwan.
出版信息
BMC Womens Health. 2020 Mar 12;20(1):52. doi: 10.1186/s12905-020-0895-y.
BACKGROUND
Acute water intoxication after hysteroscopy is a rare, life-threatening condition, often accompanied with delayed diagnosis owing to masked symptoms because of general anesthesia.
CASE PRESENTATION
Herein we presented a 39-year-old female who presented with cardiac arrest after hysteroscopic myomectomy because of acute water intoxication and survived after extracorporeal membrane oxygenation, continuous venous-venous hemofiltration, and aggressive high sodium fluid resuscitation.
CONCLUSION
Failure to recognize and treat this condition appropriately may lead to potentially lethal cardiopulmonary complications.
背景
宫腔镜检查后急性水中毒是一种罕见的、危及生命的疾病，由于全身麻醉导致症状被掩盖，常导致诊断延迟。
病例介绍
本文报告了 1 例 39 岁女性患者，因宫腔镜子宫肌瘤切除术导致急性水中毒，发生心脏骤停，经体外膜肺氧合、持续静脉-静脉血液滤过和积极的高钠液复苏后存活。
结论
如果不能正确识别和治疗这种情况，可能会导致潜在的致命性心肺并发症。
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