経尿道的前立腺切除(TURP)に起因するLower Nephron Nephrosisに就いて : 治験例とその考察

概要

論文の詳細を見る
Two cases of the clinical lower nephron nephrosis following transurethral resection of the prostate gland are presented and discussed. Sterile distilled water was the irrigating medium and post-resection hemoglobinemia of 518mg per cent was noticed in one case and apparently higher but not quantified in the other case. The marked oliguria syndrome followcd by uremia was occurred in both cases but was successfully managed by careful control of the serum electrolyte and water balance. Use of nonhemolytic irrigating medium is desirable to prevent hemolytic reaction cluring rcsection. However, wc still feel that plain water is an excellent irrigating medium because it produces a better visual field for the resectionist. Recently, we are gaining a satisfactory result by limiting the use of plain water up to ten litters and then change to 4% glucose when more irrigating medium is needed.
社団法人日本泌尿器科学会の論文