Fox William C, Moon Richard E
From the Department of Anesthesiology.
General, Vascular, Transplant Division, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
A A Pract. 2018 Nov 15;11(10):279-281. doi: 10.1213/XAA.0000000000000809.
There have been many complications associated with transurethral resection of the prostate (TURP), known as TURP syndrome. Of the various irrigation fluids used for TURP, glycine irrigant has been historically popular given its relatively low cost. It is also a nonconductive solution and only slightly hypoosmolar, reducing the risk of burn injury or significant hemolysis. However, there have been many case reports of central nervous system toxicity such as transient blindness and encephalopathy related to glycine toxicity. Here, we report blue vision (cyanopsia), which has never been reported as a symptom of TURP syndrome.
经尿道前列腺切除术（TURP）存在许多并发症，即所谓的TURP综合征。在用于TURP的各种冲洗液中，甘氨酸冲洗液因其成本相对较低，历来颇受欢迎。它也是一种非导电溶液，且仅略低渗，降低了烧伤或严重溶血的风险。然而，有许多关于中枢神经系统毒性的病例报告，如与甘氨酸毒性相关的短暂性失明和脑病。在此，我们报告了蓝色视觉（蓝视症），这从未被报道为TURP综合征的一种症状。
