【摘要】 目的 探讨经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)术后继发出血的原因及处理方法。方法 分析总结55例TURP BPH术后继发出血的原因及处理经验。出血的原因主要有病人高龄高危，术前并发血尿，术中止血不彻底，气囊破裂，凝血机制障碍，反复膀胱痉挛，膀胱过度充盈，便秘咳嗽，腺体残留，感染等。治疗手段分一般治疗包括止血药物、膀胱冲洗、更换气囊尿管、制动、镇定、解痉、输血等和电切镜下冲洗凝血块并电凝治疗。结果 55例TURP术后继发出血病人经治疗全部成功。38例经一般治疗后缓解;17例一般治疗无效于电切镜下冲洗凝血块并电凝止血后好转，其中2例复发出血均为一般治疗好转后再发出血转为电切镜下治疗后好转。结论 充分的术前全面分析、及时准确的术中及术后处理是治疗BPH TURP术后继发出血的关键。

    关键词 经尿道前列腺电切术 良性前列腺增生 继发出血

    Causes and management of massive hematuria associated with BPH following

    TURP Ye Lin，Hou Xu，Yang Jinyi，et al.

    Department of Urology，Dalian Friendship Hospital，Dalian116001.

    【Abstract】 Objective To evaluated the causes and management of massive hematuria associated with benign prostatic hyperplasia(BPH)following transurethral resection of prostate(TURP).Methods A total of55cases of massive hematuria associated with BPH following TURP was analyzed and summarized.The causes of hematuria are mainly including senior and high risk ......