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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.

DOI:10.14744/tjtes.2024.33979
PMID:39668538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11849881/
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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1
A rare complication of transurethral resection: Transient Blindness.经尿道切除术的一种罕见并发症:短暂性失明。
Ulus Travma Acil Cerrahi Derg. 2024 Jan;30(12):921-924. doi: 10.14744/tjtes.2024.33979.
2
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本文引用的文献

1
Novel strategy to monitor fluid absorption and blood loss during urological endoscopic surgery.泌尿外科内镜手术中监测液体吸收和失血的新策略。
Transl Androl Urol. 2020 Jun;9(3):1192-1200. doi: 10.21037/tau-19-780.
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Usefulness of non-invasive cardiac output monitoring in elderly patients undergoing monopolar transurethral resection of the prostate: a pilot study.非侵入性心输出量监测在老年患者行单极经尿道前列腺切除术的应用:一项初步研究。
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3
Comparison of hemodynamic profiles in transurethral resection of prostate vs transurethral resection of urinary bladder tumors during spinal anesthesia: a bioimpedance study.脊髓麻醉下经尿道前列腺切除术与经尿道膀胱肿瘤切除术血流动力学曲线的比较:一项生物阻抗研究
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Fluid absorption in endoscopic surgery.内镜手术中的液体吸收
Br J Anaesth. 2006 Jan;96(1):8-20. doi: 10.1093/bja/aei279. Epub 2005 Nov 29.
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A comparison of the effect of 1.5% glycine and 5% glucose irrigants on plasma serum physiology and the incidence of transurethral resection syndrome during prostate resection.1.5%甘氨酸和5%葡萄糖灌洗液对前列腺切除术中血浆血清生理及经尿道切除综合征发生率影响的比较
BJU Int. 2005 Aug;96(3):368-72. doi: 10.1111/j.1464-410X.2005.05633.x.
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Br J Anaesth. 1999 Feb;82(2):250-4. doi: 10.1093/bja/82.2.250.
8
Transurethral resection of the prostate, serum glycine levels, and ocular evoked potentials.经尿道前列腺切除术、血清甘氨酸水平与视觉诱发电位
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