经尿道前列腺电切术后早期出血的保守处理

Conservative treatment of early hemorrhage by transurethral resection of the prostate

目的探讨经尿道前列腺电切术后早期出血的保守处理方法。方法回顾26例经尿道前列腺电切术后早期出血病例的处理及效果。结果降压治疗后5例轻度出血者冲洗液转为微淡红色，不予进一步处理。8例追加气囊后出血停止。5例膀胱区压迫后出血停止。6例更换尿管加大气囊加用或不加用膀胱区压迫后出血停止。2例出血保守处理不能控制，接受再次电凝止血。所有病例住院期间无再次出血发生，住院7-9d顺利出院。结论控制血压、追加气囊、膀胱区压迫、更换尿管加大气囊是处理前列腺电切术后早期出血的有效方法。

Objective discuss the conservative treatment of hemorrhage by transurethral resection of the prostate（TURP）. Methods Twenty-six cases with early hemorrhage by transurethral resection of the prostate were reviewed retrospectively. Results Five cases with moderate hemorrhage had slight bleeding after anti-hypertension treatment and there was no need for advanced management. Eight cases had no bleeding after enlarged size of balloon of indwelling double lumen catheter. Five cases of bleeding had stopped after pressing bladder area. Six cases of bleeding had been controlled after changing urinary catheter with enlarged size of ballon with or without pressing bladder area. Two cases accepted transurethral fulguration. All cases had no bleeding again during hospitalization with 7-9 hospital days, Conclusion Anti-hypertension treatment, enlarging ballon, pressing bladder area and changing urinary catheter with enlarged size of ballon are effective for treating early hemorrhage by TURP.