CAJ | 학술논문

经尿道前列腺切除术(transurethral resection of prostate,TURP)综合征是因术中大量非离子化溶液连续冲洗吸收入血,可引起低钠血症,低渗透压,水中毒而导致呼吸衰竭.在此报道1例73岁男性患者因前列腺增生及膀胱肿瘤实施TURP及膀胱肿瘤切除术突发心跳骤停的诊治过程.术中患者因高钾、低钠血症等诱发室颤并发生心跳骤停,经心肺脑复苏高级生命支持等治疗后,患者病情得以稳定.通过对该综合征发生的病理生理改变分析,探讨其预防和治疗措施.
경뇨도전렬선절제술(transurethral resection of prostate,TURP)종합정시인술중대량비리자화용액련속충세흡수입혈,가인기저납혈증,저삼투압,수중독이도치호흡쇠갈.재차보도1례73세남성환자인전렬선증생급방광종류실시TURP급방광종류절제술돌발심도취정적진치과정.술중환자인고갑、저납혈증등유발실전병발생심도취정,경심폐뇌복소고급생명지지등치료후,환자병정득이은정.통과대해종합정발생적병리생리개변분석,탐토기예방화치료조시.
The transurethral resection of prostate (TURP) syndrome is caused by excessive absorption of hypotonic bladder irrigating fluid.Excessive absorption of hypotonic fluid can result in hyponatremia,hyposmolality,water intoxication,respiratory and circulatory failure,etc.This case report described the management of cardiac arrest after TURP in a 73-years-old man with benign prostatic hyperplasia and bladder tumors. The patient developed ventricular fibrillation and cardiac arrest might be due to intraoperative hyperkalemia and hyponatremia.After cardiopulmonary-cerebral resuscitation and advanced life support,the patient was stabilized.Further analysis of the pathophysiological changes of TURP syndrome will be needed for its prevention and treatment