Postoperative Coma Induced by Hyponatremia after Laparoscopy-A Case Report

腹腔鏡術後低血鈉昏迷－病例報告

韓心如(Sin-Ru Han) ； 吳啟誠(Chi-Chen Wu) ； 莫世湟(Martin Mok) ； 張景文(Ching-Wen Chang) ； 倪今峰(Chin-Feng Ni) ； 曾啟瑞(Chii-Ruey Tzeng)

《Acta Anaesthesiologica Sinica》 38卷1期 (2000/03) Pp. 41-46

https://doi.org/10.6955/AAS.200003.0041

摘要

低血鈉症是許多疾病常見的現象。可是即使是健康的年輕病患，在接受單純的常規手術後，都可能併發嚴重的後遺症，甚至導致死亡。本病例報告是一位34歲女病患在接受腹腔鏡手術之次日，發生意識變化進而昏迷。血液檢查發現鈉離子指數爲110mEq/L。病人在經過長時間的細心治療後康復。我們在此就低血鈉的病理作一討論，並呼籲同業對停經前婦女特別留意。

關鍵字

低血鈉 ； 腹腔鏡 ； 術後併發症：昏迷

並列摘要

Hyponatremia is a common clinical entity which may occur during the course of many medical illnesses. However disastrous sequelae or even death may develop in young, generally healthy patients who receive simple elective surgery. Here we present a case of a 34-year-old female, without past history of cardiopulmonary or renal disease, after undergoing laparoscopic surgery developed mental status changes and lapsed into coma on the second postoperative thy. She was found to have a serum sodium level of 110 mEq/L. After careful treatment and a protracted hospital stay, the patient recovered uneventfully. The pathophysiology of postoperative hyponatremia is discussed and attention is called to the special vulnerability of menstruant women who carry a much increased risk of mortality and morbidity associated with hyponatremia.

並列關鍵字

Hyponatremia ； Laparoscopy ； Postoperative complication: coma