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经尿道前列腺电切术后出血的原因及防治
引用本文:丁方成,黄金国,陈翔. 经尿道前列腺电切术后出血的原因及防治[J]. 安徽医药, 2009, 13(3): 277-278
作者姓名:丁方成  黄金国  陈翔
作者单位:安徽省马鞍山市人民医院泌尿外科,安徽马鞍山,243000;安徽省马鞍山市人民医院泌尿外科,安徽马鞍山,243000;安徽省马鞍山市人民医院泌尿外科,安徽马鞍山,243000
摘    要:目的探讨经尿道前列腺电切术后出血的原因及防治措施。方法21例术后出血患者分别通过四种方法止血:注射器加压加速冲洗膀胱,通畅后加大Foley氏三腔尿管气囊容量,增加尿管拉力;拔血器清除膀胱内积聚血块;电切镜止血;开放手术止血。结果21例术后出血患者,注射器加压加速冲洗止血8例,拔血器处理止血4例,电切镜止血6例,再次开放手术止血3例,未发生严重并发症及死亡。结论经尿道前列腺电切术后出血的原因是多方面的,术前完善准备、术中止血确切及保证术后冲洗通畅是减少术后出血的关键,一旦发生出血,通过上述方法均能满意止血。

关 键 词:前列腺增生  经尿道前列腺电切  术后出血

Prevention and management of hemorrhage after transurethral resection of prostate
DING Fang-cheng,HUANG Jin-guo,CHENG Xiang. Prevention and management of hemorrhage after transurethral resection of prostate[J]. Anhui Medical and Pharmaceutical Journal, 2009, 13(3): 277-278
Authors:DING Fang-cheng  HUANG Jin-guo  CHENG Xiang
Affiliation:DING Fang-cheng,HUANG Jin-guo,CHENG Xiang(Department of Urology,Ma'anshan People's Hospital,Maanshan,Anhui 243000,China)
Abstract:Aim To explore the cause,prevention and treatment of hemorrhage after transurethral resection of prostate.Methods 21 cases of hemorrhage after TURP were treated with 4 kinds of hemostasis methods:method one,using syringe douche bladder with accelerating speed and pressure,increasing balloon volume of foley catheter after unobstructed and increasing the tension of catheter.Method two,cleaning out the blood clot within the bladder with instrument.Method three,stanching with resectoscope.Method four,opening op...
Keywords:benign prostatic hyperplasia  transurethral resection of prostate  postoperative bleeding  
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