Benlamkaddem Said, Houari Nawfal, Boukatta Brahim, Sbai Hicham, Kanjaa Nabil
Service de Réanimation Polyvalente A4, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.
Pan Afr Med J. 2017 Nov 17;28:243. doi: 10.11604/pamj.2017.28.243.9210. eCollection 2017.
We report the case of a 78-year old patient, with no particular past medical history, who underwent transurethral resection of the prostate (50 g) under spinal anesthesia for benign hypertrophy. 90 minutes after the beginning of the procedure, the patient had nausea, vomiting, visual fog and bradycardia, suggesting TURP syndrome. Ionogramme objectified a serum sodium level of 118meq/L, hence the patient was treated with 3% hypertonic saline solution, with good evolution. This study describes a common but moderate occurrence of TURP syndrome whose management was facilitated by patient's alertness during spinal anesthesia.
我们报告一例78岁患者,既往无特殊病史,因良性前列腺增生在脊髓麻醉下行经尿道前列腺切除术(切除前列腺50克)。手术开始90分钟后,患者出现恶心、呕吐、视物模糊和心动过缓,提示经尿道前列腺电切综合征(TURP综合征)。离子分析显示血清钠水平为118毫当量/升,因此该患者接受了3%高渗盐溶液治疗,病情好转。本研究描述了TURP综合征一种常见但程度较轻的情况,脊髓麻醉期间患者的警觉性有助于该综合征的处理。