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经尿道切除术的一种罕见并发症:短暂性失明。

A rare complication of transurethral resection: Transient Blindness.

作者信息

Bayraktar Necmi

机构信息

Department of Urology, Burhan Nalbantoglu State Hospital, Lefkoşa-Cyprus.

出版信息

Ulus Travma Acil Cerrahi Derg. 2024 Jan;30(12):921-924. doi: 10.14744/tjtes.2024.33979.

Abstract

Transient blindness is an extremely rare complication of transurethral resection (TUR) syndrome, which is a well-known complication recognized by urologists and anesthesiologists. TUR syndrome arises from the intravascular absorption of hypotonic fluids during the procedure. In this case report, an 80-year-old male patient experienced transient blindness after undergoing transurethral resection of the prostate. The patient's medical history included hypertension, lung cancer in remission, and paroxysmal atrial fibrillation. The surgery was performed under spinal anesthesia. During the procedure, the patient was found to be blind. The patient's postoperative blood samples revealed elevated plasma glycine levels, which is a known risk factor for TUR syndrome. The patient's visual impairment began to improve without further intervention. This case report highlights the importance of considering the patient's medical history and the potential risks associated with TUR syndrome.

摘要

短暂性失明是经尿道前列腺电切术(TUR)综合征极为罕见的并发症,TUR综合征是泌尿科医生和麻醉医生熟知的一种并发症。TUR综合征源于手术过程中低渗液体的血管内吸收。在本病例报告中,一名80岁男性患者在接受经尿道前列腺电切术后出现短暂性失明。患者的病史包括高血压、处于缓解期的肺癌和阵发性心房颤动。手术在脊髓麻醉下进行。术中发现患者失明。患者术后血样显示血浆甘氨酸水平升高,这是TUR综合征的已知危险因素。患者的视力损害在未进行进一步干预的情况下开始改善。本病例报告强调了考虑患者病史以及与TUR综合征相关潜在风险的重要性。

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