- 期刊
Absorption of Irrigating Fluid during Transcervical Resection of Endometrium - A Report of Two Cases
沖洗液對經子宮頸切除子宮內膜的影響
摘要
It has been recognized for many years that the use of hypotonic solution for the irrigation of the bladder cavity during transurethral resection of the prostate (TURP) may result in hyponatremia and water intoxication due to rapid and excessive absorption of the solution from the exposed prostatic bed, the clinical manifestation of which is termed ＂TURP syndrome＂. A similar condition termed ＂female TURP syndrome＂ following hysteroscopic transcervical endometrial resection (TCR) has been reported. Since the frequency of TCR continues to increase the increased rate of ＂TCR syndrome＂ would come in its wake. Here, we present two cases who developed severe hyperglycemia and hyponatremia while underwent TCR with 10% dextrose in water as the irrigation fluid and at the same time emphasize the potential risk of this complication.
並列摘要
在男性攝護腺腫大的病例，利用低張溶液來沖洗膀胱，因為攝護腺底部的血管吸收，而使血液中出現低鈉及水中毒的現象屢見不鮮，而且這是很多年前就知道的事。女性TURP症狀是因為近年來子宮鏡手術的發展，才逐漸於1993、1994年有人報告。我們報告有二個病例因為利用10%葡萄糖水作為沖洗液，術中發現高血糖及低血鈉、肺水腫，甚至心跳暫停，幸而及時發現，急救後都無大礙，平安出院。