Agius A M, Cutajar C L
Department of Urology, St. Luke's Hospital, G'Mangia, Malta.
J R Coll Surg Edinb. 1991 Apr;36(2):109-12.
Transurethral resection (TUR) syndrome is a complication of transurethral resection of the prostate characterized by bradycardia, hypotension and postoperative confusional state, which is generally attributed to hyponatraemia occurring during or immediately after operation. In a prospective study of 100 consecutive patients undergoing transurethral resection of the prostate, changes in serum sodium were estimated before and after operation and correlated with various parameters including weight of prostate resected, volume of irrigant fluid and resection time. Seven patients showed a significant drop (greater than 10 mmol/litre) in serum sodium: two of these had the clinical features of TUR syndrome and one of them died. The pathogenesis and management of this syndrome are discussed.
经尿道前列腺切除术（TUR）综合征是经尿道前列腺切除术的一种并发症，其特征为心动过缓、低血压和术后意识模糊状态，通常归因于手术期间或术后立即发生的低钠血症。在一项对100例连续接受经尿道前列腺切除术患者的前瞻性研究中，评估了手术前后血清钠的变化，并将其与包括切除前列腺的重量、冲洗液量和切除时间在内的各种参数相关联。7例患者血清钠显著下降（大于10 mmol/升）：其中2例具有TUR综合征的临床特征，其中1例死亡。本文讨论了该综合征的发病机制和处理方法。
