van Renen R G, Reymann U
Deparmtent of Anaesthesia and Intensive Care, Dunedin Hospital, New Zealand.
Aust N Z J Surg. 1997 Dec;67(12):874-7. doi: 10.1111/j.1445-2197.1997.tb07617.x.
The absorption of sodium-deficient, hypotonic irrigation solution is believed to contribute, in certain cases, to hyponatraemia and hypo-osmolality and, in severe cases, to the so-called transurethral resection of the prostate (TURP) syndrome.
The effect of the height of 1.5% glycine irrigation solution during intermittent-flow TURP on serum sodium and osmolality was studied peri-operatively in 40 patients. The height of the glycine was set at 70 (n = 20) or 150 (n = 20) cm above the operating table.
We found no statistically significant difference in the measured serum sodium (P = 0.929) and osmolality (P = 0.260) values between the two groups during the 24 hr study period.
The height of the irrigation solution is not important in the development of hyponatraemia and hypo-osmolality, and other factors are probably more important.
在某些情况下，低钠、低渗冲洗液的吸收被认为会导致低钠血症和低渗透压，在严重情况下，会导致所谓的经尿道前列腺电切术（TURP）综合征。
在40例患者的间歇性经尿道前列腺电切术中，研究了1.5%甘氨酸冲洗液高度对围手术期血清钠和渗透压的影响。甘氨酸的高度设置在手术台上方70（n = 20）或150（n = 20）厘米处。
在24小时研究期间，两组之间测量的血清钠（P = 0.929）和渗透压（P = 0.260）值没有统计学上的显著差异。
冲洗液高度在低钠血症和低渗透压的发生中并不重要，其他因素可能更重要。
