The gynecological TURP syndrome: Severe hyponatremia and pulmonary edema during hysteroscopy [Das gynäkologische "TUR-syndrom": Schwere hyponatriämie und lungenödem während operativer hysteroskopie]

被引：1

作者：

Serocki G. ^{[1
,2
]}

Hanss R. ^{[1
]}

Bauer M. ^{[1
]}

Scholz J. ^{[1
]}

Bein B. ^{[1
]}

机构：

[1] Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein UKSH, Campus Kiel, Kiel

[2] Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein UKSH, Campus Kiel, 24105 Kiel

来源：

Der Anaesthesist | 2009年 / 58卷 / 1期

关键词：

Acute hyponatremia; Fluid absorption syndrome; Operative hysteroscopy; Pulmonary edema; TURP syndrome;

D O I：

10.1007/s00101-008-1446-3

中图分类号：

学科分类号：

摘要：

Fluid overload and dilutional hyponatremia are rare but typical complications of endoscopic transurethral resection of the prostate gland (TURP syndrome). Less commonly, this complication caused by excessive absorption of hypotonic, electrolyte-free non-conductive distention solution, may also occur during endoscopic surgery of the uterus, e.g. operative hysteroscopy. A case report is presented of a 44-year-old woman scheduled for operative hysteroscopy for intracavital myoma under general anaesthesia, suffering from severe absorption syndrome leading to hyponatremia of 106 mEq/l and pulmonary edema necessitating subsequent admission to ICU. Anatomical and physiological as well as technical aspects of this syndrome are discussed. Recommendations for anesthesiology management are offered and a possible treatment of acute hyponatremia is discussed. © 2008 Springer Medizin Verlag.

引用

页码：30 / 34

页数：4