Clinical characteristics of 12 cases of electrocistion complicated with acute water poisoning and literature review
Objective:To explore the clinical features of electrocistion complicated with acute water poisoning,make a diagnosis and give treatment,and prevention measures.Methods:The clinical data of patients with electroresection complicated with acute water poisoning in our hospital from December 2013 to April 2024 were retrospectively analyzed,and the patients were followed up and the literature was reviewed.Results:This group of patients ranged in age from 14 to 77 yearsold,with 9 female patients undergoing hysteroscopic electrosurgery and 3 male patients undergoing prostate electrosurgery.Nine of the cases occurred during surgery,while 3 occurred postoperatively.All 9 patients undergoing general anesthesia had increased airway pressure,while 3 patients undergoing epidural anesthesia experienced abdominal discomfort and obvious ascites on ultrasound examination.All patients had varying degrees of hyponatremia,with 9 having audible wet rales on lung examination.The 9 cases of intraoperative edema were quickly terminated.All 12 patients received oxygen therapy,were given furosemide intravenously,and were treated with 5％sodium chloride solution via intravenous infusim to correct electrolyte imbalances.Patients with ascites were given peritoneal drainage;one patient developed severe systemic organ failure and hypoxemia,and was treated with hemofiltration and extracorporeal membrane oxygenation;all 12 patients were discharged after recovery.Conclusion:cutting and acute water poisoning prevention,intraoperative nurse remind tour safety awareness helps to reduce the complications.Monitoring the airway pressure,pulmonary signs and serum sodium level in patients with general anesthesia is helpful to detect the disease in time.The abdominal signs of patients with epidural should be observed.Diuresis and sodium supplement were the key measures for successful rescue.Ascites serious abdominal puncture drainage,can be used in patients with severe hypoxemia extracorporeal membrane oxygenation treatment.
万方数据
