Hahn R G
Department of Anaesthesiology, Huddinge University Hospital, Sweden.
Can J Anaesth. 1995 Jan;42(1):69-72. doi: 10.1007/BF03010574.
The transurethral resection syndrome has not previously been described after bladder surgery. This article reports four patients who developed signs of this syndrome after transurethral resection of bladder tumours (TURB). Symptoms included abdominal pain, arterial hypotension, nausea and vomiting. There was evidence in all cases that the cause was absorption of irrigating fluid by the extravascular route. Fluid absorption was detected by ethanol in two patients and the urologist noted a perforation during the third operation. The most complicated clinical course occurred in the case where there was a delay of three hours before the diagnosis was made. Medical treatment consisted of antiemetics and volume expansion of the extracellular fluid compartment as extravasation is associated with hypovolaemia. Diuretics were not given until the circulation had been restored.
经尿道切除综合征此前在膀胱手术后未见报道。本文报告了4例经尿道膀胱肿瘤切除术（TURB）后出现该综合征体征的患者。症状包括腹痛、动脉低血压、恶心和呕吐。所有病例均有证据表明病因是灌洗液经血管外途径吸收。两名患者通过乙醇检测到液体吸收，第三名患者手术期间泌尿科医生注意到有穿孔。诊断延迟三小时的病例临床过程最为复杂。药物治疗包括使用止吐药和扩充细胞外液容量，因为血管外渗与血容量不足有关。在循环恢复之前不使用利尿剂。
