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经尿道电切综合症(TVRS)是经尿道前列腺切除术(URP)众所周知的并发症。与前列腺创面冲洗液吸收形成的稀释性低钠血症和急性血容量增多有关,一旦发生,死亡率高达15-40%。在回顾性研究的文献报告中,低钠血症发生率为11-41%。该文对100例施行URP的患者进行了前瞻性的研究。所有病例均使用24-Charr镜鞘,间断冲洗,1.5%甘氨酸用作冲洗液,悬吊高度控制在手术台上方100cm认为,电切时注意及时止血。记录冲洗液量,前列腺切除量及手术时间。麻醉诱导下立即测血清电解质。术后不用利尿剂。
Transurethral resection syndrome (TVRS) is a well-known complication of transurethral resection of the prostate (URP). It is associated with dilutional hyponatremia and acute hypovolemia caused by the absorption of irrigation fluid from prostate wounds. In the event of death, the rate of death is as high as 15-40%. In a retrospective literature report, the incidence of hyponatremia was 11-41%. In this paper, 100 patients undergoing URP were prospectively studied. All cases were used 24-Charr sheath, intermittent rinse, 1.5% glycine used as a rinse solution, the height of the suspension control above the operating table 100cm think, cut timely attention to stop bleeding. Record the amount of irrigation fluid, prostatectomy and operation time. Immediate anesthesia induced serum electrolytes. No diuretic after surgery.