KMID : 0376419960200010107
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Chonbuk University Medical Journal 1996 Volume.20 No. 1 p.107 ~ p.112
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2 Cases of TUR syndorme
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Abstract
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Transurethral resection of prostate(TURP) is a common urologic procedure of elderly male patients, a population that generally carries greater anesthetic risk because they are likely to have coexisting cardiovascular and/or pulmonary problems.
TUR syndrome is symptom complex of hypervolemia and dilutional hyponatremia due to intravascular absorption of non-electrolyte irrigating fluid. The amount of fluid absorbed is related to the time elapsed, number of venous sinuses opening during
resection and the height of the irrigation container.
The authors have experienced TUR syndrome in two cases with circulatory overload, hyponatremia, and hypotension during TURP, and present its management with the review of the relevant literatures.
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