经尿道前列腺电切术后24h内出血32例原因分析及处理  

Postoperative Hemorrhage after Transurethral Resection of the Prostate within 24 Hours and Treatment(Report of 32 cases)

作　　者：柳发德[1] 周兴祝[1] 王杜渐[1] 唐庆来[1] 吕建林[1] 惠继红[1] 王义兆[1] 

机构地区：[1]南京医科大学附属江宁医院泌尿外科,江苏南京211000

出　　处：《湖北民族学院学报（医学版）》2012年第3期39-40,44,共3页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的探讨经尿道前列腺电切术(TURP)后24 h内出血的原因及快速处理措施。方法回顾性分析32例良性前列腺增生症患者TURP术后24 h的临床资料。结果出血原因包括术前、术中、术后三方面的原因以及在治疗中处理失当,24例经保守治疗而好转,8例经保守治疗无效,给予静脉镇痛重新置入电切镜,冲洗血凝块,再次电凝、止血后好转。结论经尿道前列腺电切术后出血的原因是多方面的,充分的术前准备,正确的术中处理,术后早期发现并快速正确处理,是减少前列腺增生症患者TURP术后出血的关键。Objective To investigate the cause of postoperative hemorrhage after the transurethral resection of prostate（TURP） within 24 hours and rapid treatment measures to reduce the complications of operation to promote early recovery.Methods A retrospective analysis was made on the cause of postoperative hemorrhage of 32 cases treated by TURP within 24 hours.According to the different circumstances,different therapeutic options were adopted,then therapeutic effects were evaluated.Results Owing to preoperative,operative and postoperative factors,postoperative hemorrhage occurred.24 cases recovered by conventional treatment,the other 8 cases did not until resectoscope was applied under intravenous analgesia,blood clot flushed and hemostasis measure adopted.Conclusion The postoperative hemorrhage after transurethral resection of the prostate invoved many factors.The key to reducing postoperative hemorrhage in patients with benign prostatic hyperplasia treated by TURP lies in full preoperative preparation,proper operative treatment,postoperative early detection and rapid correct management.

关 键 词：前列腺电切术 前列腺增生 术后出血 

分 类 号：R699[医药卫生—泌尿科学]