摘要
目的探讨经尿道前列腺电切术(TURP)中,输注速尿和3%高渗盐水对预防经尿道电切综合征(TURPS)的作用。方法100例前列腺电切患者,随机分为观察组(速尿20mg+3%高渗盐水100mL组),对照组(注射用水2mL+5%葡萄糖100mL液组),记录术前、术后血电解、血糖、渗透压、CVP、MAP和灌洗液吸收量。结果对照组出现3例经尿道电切综合征(TURPS),观察组与对照组血电解质和血糖术后的变化差异有显著性,对照组术前、术后的变化差异有显著性;观察组与对照CVP、渗透压、灌洗液吸收量术后的变化差异有显著性,对照组术前、术后的变化差异有显著性。结论在手术中给予速尿和3%高渗盐水对TURPS的预防有一定作用。
[Objective] To detect the effects of furosemide and 3% hypertonic saline to protect transurthral resection of the prostate system（TURPS）. [Methords] 100 patients underwent transurthral resection of the prostate were randomly divided into observe group （furosemide 20 nag and 3% hypertonic saline 100 mL）, control group （solution for injection 2 mL and 5% glucose 100 mL）. Preoperation-postopertion blood electrolytes, blood glucose, osmosis pressure, CVP, MAP, absorption amount of irrigating fluid. [Results] Observe group have 3 TURPS patients. There were remarkable different in blood electrolytes and blood glucose between observe group and contral group, control group was different remarkably pre- and post- operation. There were remarkable difference in CVP, osmosis pressure, absorption amount of irrigating fluid in postopertion, control group was different remarkably pre- and postoperation. [Conclusion] Infusing furosemide and 3% hypertonic saline have protective effect to transurthral resection of the prostate system （TURPS） during transurthral resection of the prostate （TURP）.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第10期1529-1530,1534,共3页
China Journal of Modern Medicine
关键词
速尿
高渗盐水
经尿道电切综合征(TURPS)
furosemide
hypertonie saline
transurthral resection of the prostate System （TURPS）
