摘要
目的探讨经尿道前列腺电切术后低血压的可能原因及有效处理方法。方法回顾性分析本组四年来经尿道前列腺电切术共182例,其中发生术后低血压共20例。比较低血压组及非低血压组在年龄、手术出血量、手术时间、前列腺体积、体温、血钠、心血管疾病及其他基础疾病发生率方面的差别,评估低血压组经输血、扩容、药物升压、利尿、纠正电解质紊乱及酸碱失衡等积极治疗后的病情改善情况。结果低血压组在手术出血量、手术时间、前列腺体积、体温下降值、血钠下降值及心血管疾病发生率方面均大于非低血压组,差异有统计学意义(P<0.05),而两组的年龄及其他基础疾病发生率则无统计学差异(P>0.05)。低血压组患者经处理后生命体征恢复稳定。结论手术出血量、手术时间、前列腺体积、体温、血钠及心血管病病史是经尿道前列腺电切术后低血压风险的预测因素。术后低血压应引起重视,需及时、积极采取相应治疗措施,避免更严重并发症的发生。
Objective To evaluate the possible risk factors and effective therapeutic methods of hypotension after transurethral resection of prostate(TURP).Methods One hundred and eighty-two TURP procedures performed by our team were retrospectively analysed,post-operative hypotension were noted in 20 procedures.The parameters such as age,blood loss,operative time,prostate volume,body temperature,serous sodium,incidence of cardiovascular diseases and other diseases in the hypotension group and normal group were compared.The effects of therapies for hypotension,including blood transfusion,volume dilation,vasopressor drugs,diuresis,correction of electrolyte disturbances and acid-base imbalance,were evaluated.Results Blood loss,operative time,prostate volume,decrease of body temperature,decrease of serous sodium,and incidence of cardiovascular diseases in hypotension group were significantly higher than that in normal group(P<0.05).However,age and incidence of other diseases were similar in two groups(P>0.05).The vital sign returned to normal through positive treatment in hypotension group.Conclusions Blood loss,operative time,prostatic volume,body temperature and cardiovascular diseases history were the predictive risk factors of hypotension after TURP.Post-hypotension should attract our enough attentions,prompt and positive treatment is very necessary to avoid severe complications.
出处
《中华临床医师杂志（电子版）》
CAS
2012年第18期110-112,共3页
Chinese Journal of Clinicians(Electronic Edition)
基金
高校基本科研业务费中山大学青年教师培育项目(10ykpy06)
关键词
前列腺增生
经尿道前列腺切除术
低血压
预测因素
Prostatic hyperplasia
Transurethral resection of prostate
Hypotension
Predictive factor
