Lafay-Pillet M C, Taurelle R, Massard J D, Rebillon M, Guettier X
J Gynecol Obstet Biol Reprod (Paris). 1987;16(4):489-94.
The authors report a case of acute water intoxication with severe neurological features which complicated prolonged administration of oxytocin for post-partum hemorrhage. The patient was a 35-year-old woman with a tight mitral stenosis. The patient recovered consciousness after the hydro-electrolytic state had been put right. The precautions that have to be undertaken and the monitoring that is necessary to avoid hyponatraemia with water retention are reviewed. It is important to know the risk factors which are connected with this treatment and how certain abnormal conditions of the heart can play a role in causing this syndrome.
作者报告了一例急性水中毒病例,该病例伴有严重的神经症状,是产后出血长期使用缩宫素引发的并发症。患者为一名35岁女性,患有严重二尖瓣狭窄。水电解质状态纠正后,患者恢复了意识。本文回顾了为避免低钠血症伴水潴留而必须采取的预防措施和必要的监测。了解与该治疗相关的风险因素以及某些心脏异常情况如何在引发该综合征中起作用非常重要。