経尿道的切除術(TUR)における出血量と溶血量

Abstract

Blood loss was measured in a series of 50 cases o f transurethral resection. Average blood losses during and after transurethral reaction were 110.9cc and 44.6cc respectively. They were 163.6cc and 58.9cc in 25 cases of transurethral prostatic resection, 93.0cc and 43.0cc in 13 cases of bladder tumor and 20.5cc and 16.4cc in 12 cases of bladder neck contracture. No correlation is seen between blood loss during resection and tissue removed. On the other hand, the blood loss during operation increases as the operation time increases, especially in transurethral resection of prostate and bladder tumor. Out of 25 cases, there were only 2 cases in which over 5 0 m g% free hemoglobin was shown in plasma in use of 4% glucose solution as an irrigating fluid during operation. Candidates for transurethral resection, should be selected with great cautio n considering the skill of resectionist.