前列腺不间断经尿道切除术期间膀胱破裂。一例病例报告及实验模型
Bladder explosion during uninterrupted transurethral resection of the prostate. A case report and an experimental model.
作者信息
Hansen R I, Iversen P
出版信息
Scand J Urol Nephrol. 1979;13(2):211-2. doi: 10.3109/00365597909181180.
A bladder explosion during transurethral resection with intraperitoneal rupture of the bladder is reported. Immediate operative repair was successful and the final result satisfactory. Gas formed during in vitro and in vivo prostatic resections was analysed by means of an oxygen electrode and gascromatographs. Hydrogen was dominant but oxygen and several explosive hydrocarbons were demonstrated. The gas formed in vitro was highly explosive. Oxygen content in gas formed in vivo was considerably lower. Admixture of atmospheric air during transurethral resection increases the risk of explosion and should be avoided and the air pocket in the bladder be kept at an absolute minimum.
据报道，经尿道前列腺切除术期间膀胱发生破裂并伴有膀胱腹膜内破裂。立即进行手术修复成功，最终结果令人满意。通过氧电极和气相色谱仪分析了体外和体内前列腺切除术中形成的气体。氢气占主导，但也检测到了氧气和几种易爆碳氢化合物。体外形成的气体具有高度爆炸性。体内形成的气体中的氧气含量要低得多。经尿道切除术期间混入大气会增加爆炸风险，应予以避免，膀胱内的气袋应保持在绝对最小程度。
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