Pathogenetic mechanisms of infectious-inflammatory and thrombohemorrhagic complications oftransurethral prostatic resection
- Авторлар: Malyshev AV1, Vasilyev Y.V1
-
Мекемелер:
- Шығарылым: № 2 (2004)
- Беттер: 54-59
- Бөлім: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/275095
- ID: 275095
Дәйексөз келтіру
Толық мәтін
Аннотация
The role of hemostatic disorders and alterations in urine proteolytic
activity in pathogenesis of infectious-inflammatory and thrombohemorrhagic
complications of prostatic transurethral resection
(PTR) was studied. Hemostasis and urine proteolytic activity were investigated
with biochemical and coagulological tests in 54 patients
with benign prostatic hyperplasia (BPH) before and after PTR. Significant
hypercoagulation in early postoperative period found in the
examinees promoted formation of inflammation-related contaminated
dense protein products which serve a sourse of permanent reinfection.
The patients had low proteolytic activity of the urine caused
by renal dysfunction as a result of abnormal urodynamics in this disease.
Thus, hemostatic disorders and subnormal proteolytic activity
of the urine are essential factors in pathogenesis of infectious-inflammatory
and thrombohemorrhagic complications of PTR. The conceptual s
cheme of postoperative complications pathogenesis in BPH
patients subjected to PTR is proposed.
activity in pathogenesis of infectious-inflammatory and thrombohemorrhagic
complications of prostatic transurethral resection
(PTR) was studied. Hemostasis and urine proteolytic activity were investigated
with biochemical and coagulological tests in 54 patients
with benign prostatic hyperplasia (BPH) before and after PTR. Significant
hypercoagulation in early postoperative period found in the
examinees promoted formation of inflammation-related contaminated
dense protein products which serve a sourse of permanent reinfection.
The patients had low proteolytic activity of the urine caused
by renal dysfunction as a result of abnormal urodynamics in this disease.
Thus, hemostatic disorders and subnormal proteolytic activity
of the urine are essential factors in pathogenesis of infectious-inflammatory
and thrombohemorrhagic complications of PTR. The conceptual s
cheme of postoperative complications pathogenesis in BPH
patients subjected to PTR is proposed.
Әдебиет тізімі
- Мартов А. Г., Лопаткин Н. А. Руководство по трансуретнальной эндоскопической электрохирургии доброкачественной гиперплазии простаты. М: Триада-Х; 1997.
- Knopf H. I., Weib P., Schafer W., Funke P. J. Nosocomial inections after transurethral prostatectomy. Eur. Urol. 1999; 36 3): 207-212.
- Elmalik E. M., Ibrahim A. I., Gahli A. M. et al Risk factors in rostatectomy bleeding: preoperative urinary infection is the ony reversible factor. Ibid. 2000; 37 (2): 199-204.
- Ерюхин И. А., Белый В. Я., Вагнер В. К. Воспаление как обебиологическая реакция: на модели острого перитонита. .: Наука; 1989.
- Шабад А. Л., Румянцев В. Б., Кудрявцев Ю. В. О связи послеоперационных тромбогеморрагических осложнений сместным острым воспалительным процессом у больныхаденомой предстательной железы. Урол. и нефрол. 1995; 2: 0-33.
- Лычев В. Г. Диагностика и лечение диссеминированного нутрисосудистого свертывания крови. 2-е изд. Н. Новгород: Изд-во НГМА; 1998.
- Ahzan Z., Cartner R., English P. J. Coagulation tests in predicting haemorrage after prostatic resection. Br. J. Urol. 1993; 72 2): 201-206.
- Nielsen J. D., Gram J., Fabrin К.et al. Lack of correlation beween blood fibrinolysis and the immediate or post-operative lood loss in transurethral resection of the prostate. Ibid. 1997; 0 (1): 105-110.
- Аль-Шукри С. X., Ткачук В. И., Голощапов Е. Т. Активаторы ибринолиза в метафилактике камнеобразования принефролитиазе. Урол. и нефрол. 1999; 3: 13-15.
- Подорольская Л. В., Андреенко Г. В., Полянцева Л. Р., Бумблите И. Д. Фибринолитическая активность мочи при хроническом гломерулонефрите и амилоидозе. Вопр. мед. химии 1999; 2: 158-164.
- Коркушко О. В., Коваленко А. Н. Система свертывания крови при старении. Киев: Здоров'я; 1988.
- Жила В. В., Кушнирук Ю. И. Местный фибринолиз почек. иев: Наукова думка; 1986.
- Романенко А. М. Клиническая морфология в урологии и ефрологии. Киев: Здоров'я; 1990.
- Борисов В. В. Уродинамика при инфравезикатьной обструкции у мужчин. Урол. и нефрол. 1999; 3: 26-30.
- Лопаткин Я. А. Доброкачественная гиперплазия предстательной железы. М.; 1997.
- Tokunaga S., Ohkawa M., Oshinoya Y. et al. Bacteriemia from ransurethral prostatic resection under prophylactic use of antiiotics. Kansenshogaku Zasshi 1991; 65 (6): 698-702
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