Abstract: Hysteroscopic surgery is a common type of minimally invasive gynecological surgery, which has been widely used in hospitals of China. Although hysteroscopy has little trauma and short surgery time, many complications may occur during the operation. Water poisoning is one of the complications of hysteroscopic surgery, which is life-threatening and need to be treated timely. Here, we report a case of severe water poisoning during hysteroscopic surgery, and explore its pathogenesis, management principles and preventive measures after reviewing the literature. Anesthesiologists should be able to grasp the relevant knowledge of complications during hysteroscopic surgery, and ensure patients safety and operation smoothly, which have a great significant effect on patients' prognosis and outcome.

Key words: treatment, water poisoning, hysteroscopy

摘要： 宫腔镜手术是目前临床上常见的微创妇科手术类型,在我国各级医院均有开展。宫腔镜手术虽然创伤小、时间短,但手术过程中会出现许多并发症。水中毒是宫腔镜手术的并发症之一,严重时危及生命,需要及时处理。现报告1例宫腔镜手术并发水中毒的病例,并结合文献对其发病机制、处理原则与预防措施进行复习。麻醉医生需要提高警惕,熟练掌握宫腔镜手术并发症的相关知识,保障患者的安全与手术的顺利进行,这对于患者预后及转归具有重要的意义。

关键词: 宫腔镜, 治疗, 水中毒