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有关腔内泌尿学的文献中,很少提及选择冲洗液的问题。通常在经尿道电切术(TUR)时用的甘氨酸(Glycine)冲洗液会导致“经尿道电切术综合征”的表现——即高血压,低钠血症和神志障碍。作者主张用生理盐水来替代甘氨酸溶液,可避免上述综合征样的表现。随着腔内泌尿器械的精湛发展和操作经验的积累,自70年代后期以来,经皮超声碎石术在国外一些医疗中心已广为推行,并获得满意的效果。除常见的并发症出血、感染外,冲洗液外渗所带来的并发症是一种易被忽视而且有重要意义的问题。本文叙述一罹患该并发症的病例,患者右侧肾盂有巨大结石,作经皮超声碎石术。术前一般情况良
Of the literature on endourology, the question of choosing a rinse solution is seldom mentioned. Glycine rinse, which is commonly used in transurethral resection of the liver (TUR), can lead to the appearance of “transurethral resection syndrome” - hypertension, hyponatremia and delirium. The authors advocate that saline should be used instead of glycine to avoid the above syndrome-like manifestation. With the exquisite development of urinary urinary instruments and the accumulation of operational experience, transcutaneous ultrasonic lithotripsy has been widely implemented in some foreign medical centers since the late 1970s and has achieved satisfactory results. In addition to the common complications of hemorrhage and infection, complications associated with extravasation of irrigation fluid are a problem that is overlooked and of great importance. This article describes a patient suffering from the complications of the case, the patient has a huge stone on the right renal pelvis for percutaneous ultrasonic lithotripsy. Good general condition before surgery