经尿道前列腺电切术并发稀释性低钠血症的原因与防治  

Analysis of causes of diluting-style hyponatremia in transurethral resection of prostate and prophylactico-therapeutic measures

作　　者：彭炼君[1] 李云霞[1] 姜方智[1] 

机构地区：[1]宜宾市第一人民医院手术室,四川宜宾644000

出　　处：《中国民康医学》2009年第20期2471-2472,2510,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨经尿道前列腺电切术并发稀释性低钠血症的原因和有效防治措施。方法:回顾性分析前列腺电切术并发稀释性低钠血症(TUR-P)16例,总结影响血钠的因素及稀释性低钠血症的防治措施。结果:稀释性低钠血症的发生与术中是否切穿前列腺包膜、灌注液的用量、出血量、手术时间等密切相关。及时处理均取得满意效果,无严重并发症发生。结论:术中切穿前列腺包膜、灌注液用量多、出血量多是形成低钠血症的的主要原因,手术时间长会加重这些因素的作用。Objective： To study causes of diluting - style hyponatremia in transurethral resection of prostate and effective prophylactico - therapeutic measures. Methods： 16 patients who appeared diluting - style hyponatremia in transurethral resection of prostate were analyzed retrospectively, including the factors which have influence on blood sodium andprophylactico- therapeutic measures for diluting- style hyponatremia. Results： Diluting - style hyponatremia is relevant to the breakage of prostate capsule, the capacity of perfusion fluid, blood loss, and operation time etc. 16 patients got stable vital signs when out of operation rooms due to timely observation and active treatment. Conclusion： The breakage of prostate capsule , excessive capacity of perfusion fluid, massive blood loss are the main causes of diluting- style hyponatremia, prolonged operation time can increase the effect of the causes. Targeted observation to find the early symptoms of diluting- style hypothermia and taking corresponding actions along with doctors have vitally important sense, which can save the patients＇life and reduce the complications.

关 键 词：前列腺电切术 稀释性低钠血症 

分 类 号：R697.3[医药卫生—泌尿科学]