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经尿道前列腺电切术术后护理配合
作者:丁平 姜彦飞 
单位:仪征市人民医院
关键词:经尿道前列腺电切术 前列腺增生症 并发症 术后护理 
分类号:
出版年·卷·期(页码):2014·33·第一期(0-)
摘要:

[摘要] 目的:探讨经尿道前列腺电切术(transurethral resection of prostate,TURP)术后护理方法和经验。方法:回顾性分析本院行TURP的128例良性前列腺增生(benign prostatic hyperplasia,BPH)患者的术后护理方法。结果:128例患者手术均成功,手术时间45~136min,平均72min;术中出血量80~350ml,平均180ml;术后出血2例,1例为术后2h,1例为拔出导尿管后12小时后发生,经再次手术止血治愈;暂时性尿失禁3例,通过提肛肌功能锻炼及对症处理后消失,恢复正常排尿;经尿道电切综合症((transurethral resection syndrome, TURS)1例,通过控制输液速度、速尿利尿,输浓钠,控制输液量,症状消失。通过合理的护理,患者均痊愈出院,无严重不良后果发生,随访一年无复发。结论:良好的术后护理是TURP成功的关键,可预防、降低术后并发症的发生。

【Abstract】 Objective To approach the nursing care method and experience after transurethral resection of prostate(TURP). Methods A total of 128 peitaients with benign prostate hyperplasia(BPH) underwent transurethral resection of prostate. The nursing procedure were recorded and evaluated. Results All peitaients were operated successfully.The time of operations were ranged from 45min to 136min,average 72min.The hemorrhage of operations were ranged from 100 milliliter to 350 milliliter,average 180 milliliter. There were two peitaients who emerged the hemorrhage,One happened after two hour when the peitaient returned the ward,another showed up after extracting urinary drainage tube.The peitaients were reoperated and verificated the hemorrhage of raw surface of the prostate. Three peitaients appeared temporary urinary incontinence and was cured by training levator ani muscle. Transurethral resection syndrome(TURS)occurred in one case,and was cured by controlling speed and amount of intravenous transfusion,transfusing high density sodium ion,diureses by Furosemide. All cases were recovered fully by possible nursing care,and no serious outcomes. Symptoms were no recurrence by being followed up for one year.Conclusion Our results indicate excellent postoperative care are important after transurethral resection of prostate,and it prophylaxis and lower complication.

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