Gemostaz Posle Tur-Prostaty

Dobrokachestvennaya giperplaziya predstatel'noy zhelezy naibolee chasto vstrechayushcheesya zabolevanie mochepolovoy sistemy u muzhchin pozhilogo i starcheskogo vozrasta. Khirurgicheskoe lechenie DGPZh vklyuchaet v sebya transuretral'nuyu rezektsiyu (TURP) giperplazirovannoy tkani prostaty. Odnim iz naibolee opasnykh rannikh oslozhneniy TURP schitaetsya krovotechenie, kotoroe mozhet razvit'sya kak v intraoperatsionnom, tak i rannem postoperatsionnom periodakh, dazhe pri tshchatel'nom gemostaze i v usloviyakh stabil'nogo sostoyaniya bol'nogo, kotorye mogut privesti k tamponade mochevogo puzyrya. Absorbtsiya gipotonichnoy zhidkosti yavlyaetsya prichinoy razvitiya oslozhneniy v vide giponatriemii, gipoosmolyarnogo sindroma i gemoliza eritrotsitov. Tsel'yu nastoyashchego issledovaniya yavlyalas' otsenka faktorov riska vozniknoveniya postoperatsionnykh krovotecheniy pri transuretral'noy rezektsii dobrokachestvennoy giperplazii predstatel'noy zhelezy, v zavisimosti ot izmeneniya osmolyarnosti plazmy krovi.