Strang Christof M, Hachenberg Thomas
Klinikfür Anaesthesiologie und Intensivtherapie der Universität Magdeburg.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Jul;48(7-8):494-9; quiz 500-1. doi: 10.1055/s-0033-1352497. Epub 2013 Aug 8.
Prostate cancer is a frequently diagnosed cancer in men with a high incidence. Despite enhancements of surgical techniques in prostatectomyperioperative blood loss is still the most frequent complication. Controlled hypotension (MAP 60-70mmHg) consisting of thoracal epidural anaesthesia und restrictive fluid management is a safe method to minimize blood loss. 25 degrees Trendelenburg position supports the multimodal treatment of controlled hypotension. Tranexamic acid is a safe drug to treat hyperfibrinolysis during prostate resection.
前列腺癌是男性中经常被诊断出的一种癌症,发病率很高。尽管前列腺切除术的手术技术有所改进,但围手术期失血仍然是最常见的并发症。由胸段硬膜外麻醉和限制性液体管理组成的控制性低血压(平均动脉压60 - 70mmHg)是一种减少失血的安全方法。头低脚高25度体位有助于控制性低血压的多模式治疗。氨甲环酸是一种在前列腺切除术中治疗高纤维蛋白溶解的安全药物。