Olsson J, Berglund L, Hahn R G
Department of Anaesthesia, Sundsvall Central Hospital, Stockholm, Sweden.
Gynecol Obstet Invest. 1996;42(2):142-4. doi: 10.1159/000291928.
We report a patient who developed symptoms of fluid overload after having absorbed 3 litres of irrigating fluid during transcervical resection of the endometrium. Four methods were used to measure the absorption at 10-min intervals throughout the operation. There were strong intercorrelations between the results of these monitoring methods, which consisted in breath ethanol analyses and measurements of the serum sodium and glycine concentrations and of the volumetric fluid balance. However, the ethanol method was easiest to perform and provided immediate results. This monitoring gave the operating team as much as 45 min to prevent further absorption before it became large enough to elicit a transcervical endometrial resection syndrome.
我们报告了一名患者，该患者在子宫内膜经宫颈切除术期间吸收了3升冲洗液后出现了液体超负荷症状。在整个手术过程中，每隔10分钟使用四种方法测量吸收量。这些监测方法的结果之间存在很强的相互关联性，包括呼气乙醇分析、血清钠和甘氨酸浓度测量以及液体容量平衡测量。然而，乙醇法操作最简单且能立即得出结果。这种监测使手术团队有多达45分钟的时间来防止进一步吸收，直到吸收量变得足够大引发经宫颈子宫内膜切除综合征。
