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为减少耻骨上前列腺手术出血,从1975年9月起,我们为33例病人采取了以下措施,取得了显著效果:(1)术前用乙芪酚,至少一周。(2)尿路梗阻症状明显,或残余尿量较多,超过80毫升者,术前留置导尿管引流,以减少局部充血。(3)手术开始后,静滴抗纤溶药。(4)前列腺窝填塞干纱布和浸有6-氨基己酸的纱布。(5)膀胱颈口边缘作适当的缝合并缩小其口径,控制出血。用上述措施后,平均出血量较未改进前减少50%以上。
In order to reduce bleeding from suprapubic prostate surgery, from September 1975, we have taken the following measures for 33 patients and achieved remarkable results: (1) Preoperative use of an intravenous agent of at least one week. (2) Obvious symptoms of urinary tract obstruction, or more residual urine volume, more than 80 ml were preoperative catheter drainage catheter to reduce local congestion. (3) after the start of surgery, intravenous anti-fibrinolytic. (4) prostate gland stuffed gauze and impregnated with 6-aminocaproic acid gauze. (5) the edge of the bladder neck mouth for appropriate suture and reduce its caliber, control bleeding. With the above measures, the average amount of bleeding decreased more than 50% before improvement.