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大于80岁的高龄良性前列腺增生症患者,由于心肺功能衰退,毛细血管脆性增加,免疫功能减退,内分泌功能(特别是糖代谢)平衡失调等特点,给围手术期的处理增加了难度。手术前充分准备,选择耻骨上经膀胱前列腺切除术,术中尽量减少出血并心电与血压监护,术后注意抗生素的选择和血糖的监测是保证手术成功的关键。
Patients older than 80 years of age with benign prostatic hyperplasia, due to heart and lung function decline, increased capillary fragility, immune dysfunction, endocrine function (especially glucose metabolism) balance disorders, to the perioperative treatment increased difficulty. Fully prepared before surgery, the choice of the suprapubic transvesical prostatectomy, intraoperative minimize bleeding and ECG and blood pressure monitoring, postoperative attention to the choice of antibiotics and blood glucose monitoring is to ensure the success of the key surgery.