在经历过尿道切除前列腺的患者中使用0.9%的正常盐水灌进行外科手术期间的消极电电电血症
Surya P Singh1, Hiranmay Barman2, Reena3
1Anaesthesiology, Apex Hospital, Varanasi, IND.
Cureus
|June 11, 2024
概括
经尿道切除前列腺 (TURP) 使用0.9%的正常盐水 (NS) 灌导致血清和水平显著下降,但没有生理上的后果. 在TURP期间,警的电解质监测至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 选择灌液用于通过尿道切除前列腺 (TURP) 显著影响血清电解质水平.
- 0.9%的正常盐水 (NS) 是由于其生理特性而首选的灌液.
研究的目的:
- 为了评估0.9%的正常盐水 (NS) 灌在TURP期间对血清电解质水平和血红素的影响.
- 为了确定观察到的电解质变化的生理意义.
主要方法:
- 一项观察性研究涉及60名成年男性 (50-70岁,ASA等级1-2) 接受TURRP.
- 使用0.5%重型布皮瓦卡因和0.9%NS灌的脊柱麻醉.
- 血红素和血清电解质在手术前和手术后6小时被测量.
主要成果:
- 在统计学上显著地降低了血红素 (p < 0.001).
- 血清 (p < 0.001) 和 (p < 0.001) 的显著降低.
- 血清化物的非显著的最小增加 (p < 0.12).
结论:
- 在本研究中观察到血清和的变化虽然在统计学上是显著的,但缺乏生理后果.
- 强调需要勤奋地监测电解质,以管理在 TURP 期间可能出现的干扰.
- 0.9%的正常盐水 (NS) 在短期内似乎对 TURP灌是安全的,但监测仍然是必不可少的.
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