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目的分析经尿道前列腺电切术(TURP)中电切综合征(TURS)的临床预防和治疗措施。方法选取医院于2011年3月-2013年11月收治的良性前列腺增生患者145例,均行经尿道TURP,为预防TURS,对于明确诊断有高血压、糖尿病及心脏病等严重疾病者,术前应进行对症治疗;术中持续静脉滴注3%~5%的氯化钠溶液以延缓TURS的发生,若手术时间过长,应及时静脉推注速尿;对于预计手术时长>2h者,应事先行膀胱穿刺造瘘术;术中及时处理创面出血,术后密切观察患者生命体征,定期检测血常规和血钠,并给予6个月随访。结果经一系列有效的预防措施,仅5例患者出现TURS先兆,无1例发生TURS,所有患者均康复出院。结论前列腺增生(BHP)患者经尿道TURP中,给予综合的预防措施,可有效避免TURS的发生,对于提高患者生活质量及预后具有重要意义。
Objective To analyze the clinical prevention and treatment of TURS in transurethral resection of prostate (TURP). Methods A total of 145 cases of benign prostatic hyperplasia (BPH) treated in our hospital from March 2011 to November 2013 were treated with transurethral TURP for the prevention of TURS. For patients with definite diagnosis of hypertension, diabetes and heart disease and other serious diseases, preoperative For symptomatic treatment; intraoperative continuous intravenous infusion of 3% to 5% sodium chloride solution to delay the occurrence of TURS, if the operation time is too long, should be timely intravenous furosemide; for the expected duration of surgery> 2h, should be Bladder puncture and fistula were performed in advance; wound bleeding was treated promptly during operation, vital signs of patients were observed closely after operation, blood routine and serum sodium were detected regularly and were followed up for 6 months. Results After a series of effective preventive measures, only 5 patients had TURS aura and none had TURS. All patients were recovered and discharged. Conclusions The comprehensive preventive measures in transurethral TURP in patients with benign prostatic hyperplasia (BHP) can effectively prevent the occurrence of TURS, which is of great significance for improving the quality of life and prognosis of patients.