Hoekstra P T, Kahnoski R, McCamish M A, Bergen W, Heetderks D R
J Urol. 1983 Oct;130(4):704-7. doi: 10.1016/s0022-5347(17)51414-7.
Encephalopathy developed in 3 patients after transurethral prostatic resection. Each patient had blood ammonia levels more than 10 times the upper limit of normal. Data supportive of a metabolic cause for encephalopathy subsequently were obtained in a prospective study of patients undergoing transurethral prostatic resection with glycine irrigation. It is suggested that a distinct subpopulation of patients experiencing transurethral prostatic resection syndrome can be identified. These patients exhibit encephalopathic symptoms and have concurrent marked elevation of blood ammonia levels.
3例患者经尿道前列腺切除术后发生脑病。每位患者的血氨水平均超过正常上限的10倍。随后，在一项对接受经尿道前列腺切除术并使用甘氨酸冲洗的患者进行的前瞻性研究中，获得了支持脑病代谢原因的数据。提示可以识别出经历经尿道前列腺切除综合征的一个独特亚组患者。这些患者表现出脑病症状，同时血氨水平显著升高。
