Scott S M
Bethesda Naval Hospital, USA.
CRNA. 1998 Aug;9(3):113-7.
Hyponatremia and fluid overload--the so-called TURP Syndrome--is a rare but well-understood complication of endoscopic resection of the prostate caused by rapid absorption of irrigating fluids from venous sinuses opened during the surgery. A similar syndrome occurring during endoscopic resection of the uterine mucosa has been postulated but only rarely described. New equipment and surgical techniques have recently been developed that allow for more invasive and extensive hysteroscopic surgery, which will inevitably lead to an increased incidence of this complication. We report the occurrence of a case of acute pulmonary edema occurring intraoperatively during hysteroscopic surgery, complicated postoperatively by severe hyponatremia. Anatomic and physiological causes of this syndrome are discussed, and recommendations are offered for avoiding and treating this potentially lethal complication.
低钠血症和液体超负荷——即所谓的经尿道前列腺切除术（TURP）综合征——是前列腺内镜切除术中一种罕见但已被充分了解的并发症，由手术过程中开放的静脉窦快速吸收灌洗液所致。据推测，在内镜切除子宫内膜时也会出现类似综合征，但仅有极少的病例报道。最近研发出了新设备和手术技术，使得宫腔镜手术更具侵入性且范围更广，这将不可避免地导致该并发症的发生率增加。我们报告了一例宫腔镜手术术中发生急性肺水肿、术后并发严重低钠血症的病例。本文讨论了该综合征的解剖学和生理学原因，并给出了避免和治疗这种潜在致命并发症的建议。
