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经尿道前列腺电切术(T.U.R.)后使用甘氨酸作为冲洗液时尿液中草酸钙沉淀。

Calcium oxalate precipitation in urine following T.U.R. with glycine as irrigation fluid.

作者信息

Arvieux C C, Rambeaud J J, Denis M C, Sirajedine K, Alibeu J P, Faure G

机构信息

Department of Anesthetics, Centre Hospitalier Universitaire de Grenoble, France.

出版信息

Urol Res. 1987;15(4):229-33. doi: 10.1007/BF00262105.

DOI:10.1007/BF00262105
PMID:3672669
Abstract

Precipitation of calcium oxalate was studied in a group of ten patients who underwent transurethral prostatectomy with glycine irrigation. Post operatively all patients showed hyperoxaluria; 60% with oxaluria higher than 10 times the critical concentration of calcium oxalate in urine. Other factors, known to favour crystallogenesis were modified during the same period: low urinary output, relative hypercalciuria and uraturia and hypomagnesuria. Thus, conditions for intraluminal precipitation of calcium oxalate were present post operatively. We suggest the use of a xanthine oxidase inhibitor to prevent hyperoxaluria.

摘要

对一组接受经尿道前列腺切除术并使用甘氨酸冲洗的10名患者的草酸钙沉淀情况进行了研究。术后所有患者均出现高草酸尿症;60%的患者草酸尿高于尿中草酸钙临界浓度的10倍。在同一时期,其他已知有利于晶体形成的因素也发生了改变:少尿、相对性高钙尿症、尿酸尿症和低镁尿症。因此,术后存在草酸钙管腔内沉淀的条件。我们建议使用黄嘌呤氧化酶抑制剂来预防高草酸尿症。

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Urol Res. 1987;15(4):229-33. doi: 10.1007/BF00262105.
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本文引用的文献

1
Conversion of glycine to oxalate in a normal subject.正常受试者中甘氨酸向草酸盐的转化。
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The determination of phosphorus and phosphatase with N-phenyl-p-phenylenediamine.用N-苯基对苯二胺测定磷和磷酸酶
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Hyperuricosuria and calcium nephrolithiasis.
Urol Clin North Am. 1981 Jun;8(2):227-44.
6
Hyperoxaluria following glycine irrigation for transurethral prostatectomy.经尿道前列腺切除术中使用甘氨酸冲洗后出现高草酸尿症。
Br J Urol. 1981 Jun;53(3):250-2. doi: 10.1111/j.1464-410x.1981.tb06098.x.
7
Visual disturbances: an unusual symptom of transurethral prostatic resection reaction.视觉障碍:经尿道前列腺切除术反应的一种不寻常症状。
Anesthesiology. 1982 Oct;57(4):332-4.
8
Ammonia toxicity resulting from glycine absorption during a transurethral resection of the prostate.经尿道前列腺切除术中甘氨酸吸收导致的氨中毒。
Anesthesiology. 1983 Jun;58(6):577-9. doi: 10.1097/00000542-198306000-00021.
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Independent plasma levels of sodium and glycine during transurethral resection of the prostate.
Can Anaesth Soc J. 1984 May;31(3 Pt 1):307-13. doi: 10.1007/BF03007896.
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An improved colorimetric procedure for urine oxalate.一种改进的尿草酸比色法。
Clin Chim Acta. 1972 Jan;36(1):127-32. doi: 10.1016/0009-8981(72)90167-2.