缓慢型心律失常者经尿道前列腺等离子双极电切术围术期的处理  

Perioperative treatment of Bradycardia patients undergoing transurethral plasmakinetic resection of prostate

作　　者：刘峰[1] 金纪忠[1] 王悦[1] 许小林[1] 王忠[1] 朱开常[1] 胡晓勇[2] 

机构地区：[1]上海交通大学附属第六人民医院奉贤分院泌尿外科,上海201400 [2]上海交通大学附属第六人民医院泌尿外科

出　　处：《临床泌尿外科杂志》2012年第9期698-699,702,共3页Journal of Clinical Urology

摘　　要：目的:探讨合并缓慢型心律失常的BPH患者行经尿道前列腺等离子双极电切术(PKRP)围手术期的处理方法。方法:2006年5月～2010年5月我院行PKRP者89例,术前均明确BPH合并缓慢型心律失常。患者术前纠正基础疾病,有严重心动过缓者安装心脏起搏器;术中采取综合保温措施,控制冲洗液压力。对于前列腺体积>60ml者行前列腺通道成形术。结果:围手术期,23例出现心动过缓,14例出现心律失常,应用阿托品、异丙肾上腺素等药物治疗得到纠正,无一例发生阿-斯综合征及心律失常引起的并发症。结论:对于缓慢型心律失常患者,在PKRP术前合理准备、术中采取保温措施、控制冲洗液压力、缩短手术时间,可明显降低围手术期心血管事件的发生率。Objective：To investigate the perioperative treatment of senile patients with benign prostatic hyperplasia and bradycardia undergoing transurethral electrovaporization of prostate. Methods.. Totally 89 BPH patients with bradycardia underwent PKRP. Correct the underlying disease before surgery, install pacemaker for the severe bradyeardia patients ,take comprehensive measures to control heat preservation, control fluid pressure intraoperative, for prostate volume〉60 ml underwent prostate passage plasty. Results：Of the total number of patients, 23 cases had bradycardia, 14 cases had arrhythmias, who were corrected by application of atropine, isoproterenol. No case had Adams-Stokes syndrome. Conclusions：For patients with bradyeardia, reasonable preparation, intraoperative combined heat preservation measures, control fluid pressure, shorten the operation time perioperation period can significantly reduce the incidence of cardiovascular events.

关 键 词：经尿道前列腺等离子双极电切术 心律失常 围手术期 

分 类 号：R697[医药卫生—泌尿科学]