[使用甘氨酸冲洗液的经尿道切除术]

[Transurethral resection using glycine irrigation].

作者信息

Vila R, Salvadores M, Puig R, Iturbe F

出版信息

Ann Fr Anesth Reanim. 1987;6(1):48-9. doi: 10.1016/s0750-7658(87)80011-4.

Abstract

An accident is described which occurred during a transurethral resection of a prostatic adenoma using a 1.5% glycine solution in a 68 yr old patient. The surgery was performed under spinal anaesthesia with bupivacaine. After 14 l of irrigation fluid had been used, visual disturbances, bilateral mydriasis and drowsiness appeared, with no haemodynamic disturbances. Three hours after the end of surgery, there appeared convulsions, with the blood sodium level at 118 mmol X l-1. Symptomatic treatment resolved the problem, and the clinical examination was normal 12 h after surgery. The role of hyponatraemia in the clinical state is discussed. The usefulness of regional anaesthesia in the early detection of this type of accident is recalled.

摘要

描述了一起事故，该事故发生在一名68岁患者使用1.5%甘氨酸溶液经尿道前列腺腺瘤切除术期间。手术在布比卡因脊髓麻醉下进行。在使用了14升冲洗液后，出现视觉障碍、双侧瞳孔散大及嗜睡，无血流动力学紊乱。手术结束三小时后，出现惊厥，血钠水平为118 mmol/L。对症治疗解决了问题，术后12小时临床检查正常。讨论了低钠血症在临床状态中的作用。回顾了区域麻醉在早期发现此类事故中的作用。