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目的:研究良性前列腺增生(BPH)患者经尿道前列腺电切术(TURP)水中毒预防与治疗的有效方法。方法:分析204例TURP患者中水中毒6例的诊治情况。6例年龄69～82岁,平均77.3±2.6岁;前列腺体积60～100ml,平均75.5±15.4ml,国际前列腺症状评分24～32分,平均29.3±2.3分,水中毒于手术开始35～75min,平均45.3±12.5min后出现。采取治疗措施:(1)20%甘露醇脱水利尿;(2)补充高渗透压钠;(3)纠正低血压与酸中毒;(4)腹腔或膀胱前间隙穿刺引流积液;(5)立即中止或暂停手术。结果:经治疗后6例生命体征均转为平稳,无严重并发症发生,术后1个月随访皆排尿畅。结论:TURP为患者减少创伤、降低住院费用、缩短住院时间、提高疗效提供了保证,早发现早治疗水中毒使TURP术更为安全可靠。
Objective: To study the effective methods of prevention and treatment of transurethral resection of the prostate (TURP) in patients with benign prostatic hyperplasia (BPH). Methods: The diagnosis and treatment of 6 cases of water poisoning in 204 TURP patients were analyzed. 6 cases were aged 69 to 82 years with an average of 77.3 ± 2.6 years; the volume of prostate was 60 ~ 100ml with an average of 75.5 ± 15.4ml; the international prostate symptom score was 24 ~ 32 with an average of 29.3 ± 2.3 points; After an average of 45.3 ± 12.5min appears. Take treatment: (1) 20% mannitol dehydration diuretic; (2) hypertonic sodium supplementation; (3) correction of hypotension and acidosis; (4) peritoneal or anterior bladder puncture and drainage fluid drainage; Suspension or suspension of surgery. Results: After treatment, all the 6 vital signs turned stable without serious complications. All the patients were discharged at one month after operation. Conclusion: TURP provides a guarantee for patients to reduce trauma, reduce hospitalization costs, shorten the length of hospital stay and improve the curative effect. Early detection of early treatment of water poisoning makes TURP more safe and reliable.