about one case of water intoxication hysteroscopy nursing（关于水中毒子宫镜检查护理案例之一）.docVIP

About one case of water intoxication hysteroscopy Nursing Paper Network: water intoxication is a hysteroscopic surgery complications reported in China is 0.17% water intoxication is mainly due to uterine rupture caused by sinus lavage fluid into a lot of blood, and prolonged operative time, perfusion pressure caused high. The incidence of poisoning the water than hysteroscopic the TURP surgery, urology male patients higher. Clinical data Patients, female, 42 years old, October 29, 2010 more than the amount due to menstruation, menstruation, B-show: ‘substantial space-occupying lesion within the uterus, the size of 51 * 50 * 54mm’, admitted to hospital, in the lumbar epidural anesthesia ‘hysteroscopic resection of uterine fibroids.’ admission of the laboratory examination was normal, BP116/76mmHg, P80 beats / min, R22 beats / min, SPO2 98%. to 1.5h after surgery, patients with private prosecution chest tightness, palpitations, headache, with nausea, vomiting, was BP110/90mmHg, P115 beats / min, R20 beats / min, SPO2 94%. infusion pressure of 120mmHg, perfusion flow 0.3L/min, perfusion of 15000ml, static fluid volume of 500ml, the symptoms occurred, according to the anesthesiologist asked to suspend surgical operation, that is, check the electrolyte. 11:03 hours, the report showed K + 3.56 mmol / L, Na + 94.1 mmol / L, Cl-61.2 mmol / L, CO2 15.8 mmol / L, after intravenous injection of dexamethasone 10mg, furosemide 20mg, 0.9% Ns500ml +10 % Ns20ml infusion, treatment emperor complained of symptoms reduced. 12:01 minutes, review the K + 4.29 mmol / L, Na + 106.9 mmol / L, Cl-69.1 mmol / L, CO2 19.1 mmol / L, glucose 8.0 mmol / L, then the doctor’s advice to the 0.9% Ns500ml +10% Ns20ml continue to drop Note. 14:20 minutes complained of symptoms, statistical technique CPC bleeding 50ml, recharge 15000ml, outflows 8000ml, urine 7300ml, infusion volume 1600ml, BP110/82mmHg, HR106 beats / min, R21 beats / min, SPO2gt; = 96 %, returned to t