篇名 | Hemostasis in TURP by Hydrostatic Pressure |
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卷期 | 1:3 |
並列篇名 | 應用水壓在前列腺刮除術的止血法 |
作者 | 陳腓力 、 林文州 |
頁次 | 175-180 |
關鍵字 | hemostasis 、 hydrostatic pressure 、 transurethral resection of the prostate 、 TSCI |
出刊日期 | 199009 |
「止血」在經尿道前列腺刮除術中扮演著重要角色。本報告包括連續一百例前列腺腺狀腫瘤切除量超過10公克之病例。手術後將尿袋放置高於病人30公分而導致膀胱內壓力增高,繼而利用所產生的水壓力,以達到止血的目的。切除的腺狀腫瘤平均重約23.5公克(範圍10~80公克)。手術後24小時血紅素平均下降1.82(範圍從0~55)。術後有4位病患需以膀胱鏡處理膀胱內血塊,並加以止血。8位病患需輸血(其中7位於手術中,而1位在手術後)。導尿管的留置平均約3.6天拔除(範圍2~8天)。本報告中之病例皆沒有臨床上異常之尿路感染。
Hemostasis plays an important role in the success of transurethral resection of the prostate (TURP). One hundred consecutive patients with resected adenoma over 10 grams were included in this study. The urinary draining bag was intentionally elevated to 30cm. above the patient immediately after TURP as to effect an increase of intravesical pressure overcoming the critical intravascular pressure. The average weight of te resected adenomas was 23.5gm. (range 10-80 gm.) Recheck of hemoglobin and hematocrit on the first post operative day revealed an average drop of 0.42gm% (range 0-2) and 1.82g (range 0-5.5) respectively. Four patients required endoscopic blood clots evacuation and checking of bleeders. Eight patients required blood transfusion – seven intraoperative and only one postoperative. Postoperatively catheter was removed after 3.6 (range 2-8) days on the average. None of our patient had any significant clinical urinary tract infection or fluid and electrolytes imbalance. (J Uorl R.O.C., 1: 175-180,1990)