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麻醉对经尿道前列腺切除术出血量的影响。

Influence of anaesthesia on blood loss in transurethral prostatectomy.

作者信息

Mackenzie A R

机构信息

Department of Surgery, Long Beach Memorial Hospital, New York 11561.

出版信息

Scott Med J. 1990 Feb;35(1):14-6. doi: 10.1177/003693309003500104.

DOI:10.1177/003693309003500104
PMID:2315682
Abstract

In this study operative blood loss was measured in 177 transurethral prostatectomies performed over a six-year period in one hospital by the author. A comparison was made relative to type of anaesthesia used i.e. general inhalation versus spinal anaesthesia. The two groups were similar in age and physical condition. Their prostates were almost the same size and there was negligible difference in the rate of resection between the two groups. Mean loss and median loss in 113 patients given general anaesthesia were 66.6 and 29.9 ml. In 64 patients who had spinal anaesthesia these losses were 35.6 and 22.2 ml respectively. The findings are in agreement with two of the three previous studies devoted to the relationship between operative blood loss during transurethral prostatectomy and the type of anaesthesia used.

摘要

在本研究中,作者对一家医院在六年期间进行的177例经尿道前列腺切除术的术中失血量进行了测量。针对所使用的麻醉类型(即全身吸入麻醉与脊髓麻醉)进行了比较。两组患者在年龄和身体状况方面相似。他们的前列腺大小几乎相同,两组之间的切除率差异可忽略不计。接受全身麻醉的113例患者的平均失血量和中位数失血量分别为66.6毫升和29.9毫升。在接受脊髓麻醉的64例患者中,这些失血量分别为35.6毫升和22.2毫升。这些发现与之前三项关于经尿道前列腺切除术术中失血量与所使用麻醉类型之间关系的研究中的两项一致。

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