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经尿道前列腺电切术相关溶血直接导致的急性肾衰竭

Acute renal failure directly caused by hemolysis associated with transurethral resection of the prostate.

作者信息

Hung Chung Lieh, Wu Chih Jen, Yang Stone, Chen Han Hsian, Lin John Son

机构信息

Department of Internal Medicine, Mackay Memorial Hospital, Main Branch Hospital, Taipei, Taiwan.

出版信息

Urology. 2002 Jan;59(1):137. doi: 10.1016/s0090-4295(01)01477-7.

DOI:10.1016/s0090-4295(01)01477-7
PMID:11796306
Abstract

Transurethral resection of the prostate (TURP) for the treatment of benign prostatic hyperplasia may lead to TURP syndrome, and in some cases, acute renal failure can develop. Hemolysis does happen during TURP. Whether hemolysis itself leads to acute renal failure merits discussion. We report a patient with chronic renal insufficiency who developed oliguric acute renal failure immediately as a major complication after TURP. The renal function of this patient recovered after six hemodialysis sessions, and the patient continued to do well in the subsequent follow-up period.

摘要

经尿道前列腺切除术(TURP)用于治疗良性前列腺增生可能会导致TURP综合征,在某些情况下,还会发展为急性肾衰竭。TURP过程中确实会发生溶血。溶血本身是否会导致急性肾衰竭值得探讨。我们报告一例慢性肾功能不全患者,该患者在TURP术后立即出现少尿性急性肾衰竭这一主要并发症。该患者经六次血液透析后肾功能恢复,且在随后的随访期内情况良好。

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引用本文的文献

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Acute tubular necrosis after transurethral resection of the prostate: a case report.经尿道前列腺切除术后急性肾小管坏死:一例报告
Ann Med Surg (Lond). 2023 Feb 7;85(2):284-285. doi: 10.1097/MS9.0000000000000228. eCollection 2023 Feb.
2
Prostatic surgery associated acute kidney injury.前列腺手术相关的急性肾损伤。
World J Nephrol. 2014 Nov 6;3(4):198-209. doi: 10.5527/wjn.v3.i4.198.