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耻骨上前列腺摘除术最棘手的问题是出血,而论述术后出血问题的文献较少,作者结合本院1980～1989年的临床资料,谈谈这方面的问题。1 临床资料 1980～1989年我院行耻骨上前列腺摘除术112例,术后发生短时间内连续出血150ml以上者11例。出血组病人年龄60～76岁,病程1～7年,术前作膀胱造瘘2例,尿培养细菌阳性率50％,合并膀胱结石3例,高血压3例。本组手术顺利9例,平均失血308ml,术中不顺利2例,平均失血550ml。11例术后大出血病人中3例发生在术后1～6小时,失血300～500ml,均再次手术;1例发生
The most troublesome problem of suprapubic prostatectomy is bleeding, and the literature on postoperative bleeding is less. The author combined with the clinical data of our hospital from 1980 to 1989 to talk about this issue. 1 clinical data 1980 to 1989 in our hospital suprapubic prostatectomy 112 cases, a short period of time after the continuous bleeding of 150ml or more in 11 cases. Bleeding patients aged 60 to 76 years, duration of 1 to 7 years, preoperative cystostomy in 2 cases, urine culture bacteria positive rate of 50%, with bladder stones in 3 cases, 3 cases of hypertension. Smooth operation in 9 cases, the average blood loss 308ml, 2 cases did not smooth operation, the average blood loss 550ml. Three of the 11 patients with postoperative hemorrhage occurred at 1 to 6 hours postoperatively and had blood loss of 300 to 500 mL,