Initiating Continuous Renal Replacement Therapy in Patients With Transurethral Resection of Prostate Syndrome: A Case Report
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Le résumé fourni par la source
With advances and developments in hysteroscopy, cystoscopy, transurethral resection of bladder tumor, and arthroscopy, transurethral resection of prostate (TURP) syndrome has been increasingly reported. TURP syndrome is often accompanied by severe hyponatremia, fluid overload, and a plasma hypotonic state, resulting in heart failure and pulmonary and cerebral edema. Conventional treatment methods, such as intravenous infusion of hyperosmotic saline, can rapidly reverse the downward trend of serum sodium levels in efforts to prevent and treat cerebral edema. However, this may not be suitable for patients with cardiac and renal insufficiency and may induce central pontine myelinolysis due to the possibility of worsening volume load and difficulty in controlling the correction rate of serum sodium. The patient described in this report presented with severe hyponatremia (sodium<100 mmol/L) combined with intraoperative pulmonary edema; his cardiac function and oxygenation status deteriorated after an intravenous infusion of 3% hypertonic saline. He underwent continuous renal replacement therapy (CRRT) to prevent the progression of multiple-organ edema and cardiac insufficiency. CRRT has demonstrated efficacy in the treatment of chronic hyponatremia in patients with renal failure, and can slowly and continuously correct water-electrolyte imbalance, acid-base imbalance, and volume overload. TURP syndrome with severe hyponatremia and pulmonary edema was diagnosed; accordingly, the patient was treated with 3% hypertonic saline, furosemide, and CRRT, without the development of overt neurological sequelae.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Initiating Continuous Renal Replacement Therapy in Patients With Transurethral Resection of Prostate Syndrome: A Case Report
- Date Crossref
- 01/06/2023
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Wuxi Fourth People's Hospital pays non établi dans la noticeÉtablissement de santé
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Lianyungang Oriental Hospital pays non établi dans la noticeÉtablissement de santé
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The First People’s Hospital of Lianyungang pays non établi dans la noticeÉtablissement de santé
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Suzhou University of Science and Technology pays non établi dans la noticeUniversité ou école supérieure
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Affiliated Hospital of Jiangnan University Hemodialysis Center pays non établi dans la noticeUniversité ou école supérieure
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Lianyungang Hospital Affiliated of Jiangsu University Department of Anesthesiology pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Anesthesiology pays non établi dans la noticeUniversité ou école supérieure
Wuxi Fourth People's Hospital, Lianyungang Oriental Hospital et The First People’s Hospital of Lianyungang, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.