Reason and prevention of severe hyponatremia in hysteroscope treatment of submucous myoma
10.3760/cma.j.issn.1673-4904.2011.36.010
- VernacularTitle:宫腔镜下子宫黏膜下肌瘤电切术致严重低钠血症原因及预防
- Author:
Lanfen WU
;
Wenyin SHI
- Publication Type:Journal Article
- Keywords:
Hysteroccopes;
Uterine neoplasms;
Hyponatremia
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(36):23-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the reason and prevention of severe hyponatremia in hysteroscope treatment of the submucous myoma.Method Retrospective study was done on 106 cases of submucous myoma,3 cases with severe hyponatremia after hysteroscope treatment.Results The rate of hyponatremia was 2.8％(3/106),patients appeared nausea and vomiting 1 hour after hysteroscope treatment,blood sodium was lower than 110 mmol/L,volume of distention liquid was 8000-10000 ml,the volume of discharge was 6300-7500 ml.Three patients were treated immediately,1 patient was given sodium lactate Ringer injection and 0.9％ sodium chloride by intravenous drip,and furosemide by discontinuous injection 15 hours later,the hyponatremia was recovery; 2 patients were given 3％ sodium chloride and 15％ potassium chloride by intravenous drip,and furosemide by injection,12 hours later,the hyponatremia were recovery.Conclusion The prevention of severe hyponatremia complication after hysteroscope treatment of the submucous myoma not only need operate carefully but also need take active preventive measures.
