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KMID : 0359920110300040414
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Korean Journal of Nephrology
2011 Volume.30 No. 4 p.414 ~ p.418
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Transurethral Rescetion Syndrome after Transurethral Resection of Bladder Tumor in 2 Patients on Maintenance Hemodialysis
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Jeong Eun-Ho
Kim Eun-Na
Wang Hee-Bae
Kim Tae-Ho
Park Jeong-Suk
Kim Tae-Hyung
Kim Jin-Ou
Suh Sang-Yeol
Sung Won-Sub
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Abstract
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Transurethral resection syndrome (TURS) is one of the complications of endoscopic transurethral operation with irrigation fluid. TURS comprehensively refer to several clinical symptoms and signs caused by intravascular absorbtion of irrigation fluid, hypertension, bradycardia, arrhythmia, respiratory distress, hypotension, confusion, blindness, seizure, coma, hyponatremia, and hypoosmolarity. TURS is mainly known as the complication of the transurethral resection of prostate (TURP), and rarely found in the procedures such as transurethral resection of bladder tumor (TUR-BT), hysteroscopy, cystoscopy, and arthroscopy. Only a few cases of TURS after TUR-BT have been reported. The patients on maintenance hemodialysis were restricted in the amount of water intake for volume control. They were susceptible to the absorption of irrigation fluid during TUR-BT since they had anuria. We hereby report the 2 cases maintenance hemodialysis patients who were led to TURS after TUR-BT.
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KEYWORD
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Chronic renal failure, Renal dialysis, Urinary bladder neoplasm, Transurethral resection of prostate
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