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증례보고 : 자궁내시경적 근종제거술 동안 발생한 저나트륨혈증
김환희 ( Hwan Hee Kim ),황진영 ( Jin Young Hwang ),전영태 ( Young Tae Jeon ),황정원 ( Jung Won Hwang ),도상환 ( Sang Hwan Do ),나효석 ( Hyo Seok Na ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.5
Hysteroscopy is frequently used to assist the diagnosis and treatment of a series uterine diseases. However, complications associated with the procedure including fluid overload, hyponatremia, hypo-osmolality, hemorrhage, uterine perforation, and air embolism have been reported. The incidence of fluid overload with hyponatremia during hysteroscopic procedures has been reported to be up to 6% and it can probe fatal. Thus, early recognition of this condition and prompt intervention thereof is important to prevent adverse sequelae. Here, we report a case of hyponatremia with incidental fluid overload during hysteroscopy. We detected the signs of complication early on and were thus able to manage it promptly without any resulting adverse sequelae. (Korean J Anesthesiol 2009;57:629∼32)