Bach A, Jürs G, Krier C, Fleischer F
Klinik für Anaesthesiologie der Universität Heidelberg.
Anasth Intensivther Notfallmed. 1988 Aug;23(4):214-6.
A 81-year-old patient developed a TUR-syndrome gradually one and half an hour after termination of TURP. Surgery was complicated by perforation of the bladder dome at the end of TURP. Due to extravasation of the perioperative irrigating fluid intraperitoneally and intravascular resorption a TUR-syndrome became apparent. Early diagnosis and rapid initiation of appropriate intensive care resulted in a benign postoperative course and the patient attained full recovery.
一名81岁患者在经尿道前列腺切除术(TURP)结束后一个半小时逐渐出现TUR综合征。手术因TURP结束时膀胱顶部穿孔而复杂化。由于围手术期冲洗液腹膜内渗出和血管内吸收,TUR综合征变得明显。早期诊断并迅速开始适当的重症监护导致术后病程良好,患者完全康复。