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자궁경을 통한 점막하근종 절제술시 팽창배지에 의한 폐부종 1예

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Author(s)
이현주이무용이승민조치흠윤성도Hyeun Ju LeeMoo Yong LeeSeung Min LeeChi Heum ChoSung Do Yoon
Keimyung Author(s)
Cho, Chi HeumYoon, Sung Do
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Journal Title
대한산부인과학회잡지
Issued Date
1997
Volume
40
Issue
1
Abstract
A 45-Year-old para 1-0-1-1 had submucosal myoma diagnosed by ultrasonogram and hysteroscopic examination. During 60 minutes hysteroscopic myomectomy, 8,000 ml of sorbitol-mannitol distention medium was used and 6,500 ml collected, resulting in a deficit of 1,500 ml. The patient received Ringer`s lactate 1,000 ml intravenously. Her urine output was 400 ml. Blood loss was 40 ml. After operation, hyponatremia(115 mEq/L) was developed and pulmonary edema was also diagnosed clinically at that time and later confirmed by chest radiograph. The judicious administration of diuretics and normal saline fluid replacement to prevent overcorrection to hypernatremia resulted in return of serum electrolytes to normal level and resolution of the pulmonary edema by postoperative day 1. We have experienced a case of pulmonary edema during hysteroscopic myomectomy with sorbitol-mannitol distention medium, which is presented with a brief review of literatures. Key Words: Hysteroscopic myomectomy, Pulmonary edema, Hyponatremia, Distention media.
저자들은 자궁경을 이용한 점막하근종절제술을 시행한 환자에서 팽창배지의 흡수에 의한 저나트륨혈증, 수분중독증, 그리고 폐부종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Alternative Title
Pulmonary Edema During Hysteroscopic Myomectomy with Sorbitol-Mannitol Distention Medium
Keimyung Author(s)(Kor)
조치흠
윤성도
Publisher
School of Medicine
Citation
이현주 et al. (1997). 자궁경을 통한 점막하근종 절제술시 팽창배지에 의한 폐부종 1예. 대한산부인과학회잡지, 40(1), 218–222.
Type
Article
ISSN
0494-4755
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39033
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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