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三年来(1999-09-01——2002-09-01),我院泌尿外科在前列腺切除术117例中,有一例因用力排便引起大出血,现总结如下,以吸取教训。 1 临床资料 患者,男性,61岁,因渐进性排尿困难5年余,加重20余天入院,诊断:前列腺增生症。入院后行前列腺摘除术。术后5天中午12时许,因用力排便后(排术后初次大便),出现膀胱引流液为持续血性,诉气促。体检:神清,面色苍白,血压100/70mmHg,脉搏120次/分,时吸24次/分,腹软,腹部切
Three years (1999-09-01--2002-09-01), Urology Surgery in our hospital in 117 cases of prostatectomy, a case of bleeding due to forced defecation, are summarized as follows to learn from. 1 Clinical data Patients, male, 61 years old, due to progressive dysuria more than 5 years, more than 20 days admitted to hospital, diagnosis: benign prostatic hyperplasia. Prostate surgery after admission. 5 days after surgery at 12 o’clock in the afternoon, due to forced defecation (postoperative bowel movements), the emergence of bladder drainage fluid for continuous bloody, vindictive. Physical examination: Shen Qing, pale, blood pressure 100 / 70mmHg, pulse 120 beats / min, when sucked 24 times / min, abdominal soft, abdomen cut