지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 61 - 65 (5page)
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초록· 키워드
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Background: Hysteroscopic surgery has been used in various gynecological fields. However, massive fluid overload can occur as a complication due to persistent infusion of media for uterine cavity distension. We present the case of a woman who developed cardiomyopathy with pulmonary edema and epistaxis during hysteroscopic surgery. Case: A 76-year-old female underwent hysteroscopic septectomy. She manifested abrupt, active nasal bleeding and regurgitation in the intravenous line. Heart rate, SpO2, and PETCO2 decreased from 55 beats/min to 29 beats/min, from 100% to 56%, and from 31 mmHg to 9 mmHg, respectively. After the operation, brain CT showed bilateral prominent superior ophthalmic vein dilation. Echocardiography showed left ventricle apical ballooning and global hypokinesia. The patient recovered after two days of conservative management, with no sequelae. Conclusions: Although hysteroscopic surgery is a simple procedure, careful monitoring is necessary to prevent complications from absorption of fluid distending media during the procedure.
목차
등록된 정보가 없습니다.
참고문헌 (9)
참고문헌 신청
Aydeniz B / 2002 / multicenter survey of complications associated with 21,676operative hysteroscopies / Eur J Obstet Gynecol Reprod Biol 104:160~164
Bradley LD / 2002 / Complications in hysteroscopy : prevention, treatment and legal risk / Curr Opin Obstet Gynecol 14:409~415
AAGL Advancing Minimally Invasive Gynecology Worldwide / 2013 / AAGL practice report: practice guidelines for the management of hysteroscopic distending media: (replaces hysteroscopic fluid monitoring guidelines. J Am Assoc Gynecol Laparosc. 2000;7:167-168.) / J Minim Invasive Gynecol 20:137~148
Riggs JE / 1989 / Neurologic manifestations of fluid and electrolyte disturbances / Neurol Clin 7:509~523
Istre O / 1994 / Postoperative cerebral oedema after transcervical endometrial resection and uterine irrigation with 1.5% glycine / Lancet 344:1187~1189
Bradley LD / 2002 / Complications in hysteroscopy : prevention, treatment and legal risk / Curr Opin Obstet Gynecol 14:409~415
AAGL Advancing Minimally Invasive Gynecology Worldwide / 2013 / AAGL practice report: practice guidelines for the management of hysteroscopic distending media: (replaces hysteroscopic fluid monitoring guidelines. J Am Assoc Gynecol Laparosc. 2000;7:167-168.) / J Minim Invasive Gynecol 20:137~148
Riggs JE / 1989 / Neurologic manifestations of fluid and electrolyte disturbances / Neurol Clin 7:509~523
Istre O / 1994 / Postoperative cerebral oedema after transcervical endometrial resection and uterine irrigation with 1.5% glycine / Lancet 344:1187~1189
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