Acid phosphatase levels in serum during transurethral prostatectomy.
Serum prostatic acid phosphatase (S-PAP), serum electrolytes, blood loss and volume of irrigating fluid absorbed were measured during 10-min periods in the course of 35 transurethral prostatic resections. Elevation of the S-PAP concentration occurred in association with a large blood loss, with absorption of irrigant followed immediately by hyponatraemia, and with a sudden drop in systolic blood pressure. The volume of blood lost during irrigant absorption was the most important index of the S-PAP level. A model for the transfer of PAP to the circulation during TURP is presented.
Hahn
R G
RG
Department of Anaesthesiology, Huddinge University Hospital, Sweden.
D000135:Acid Phosphatase / Q000097:blood*; D000368:Aged; D001794:Blood Pressure; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D011468:Prostatectomy; D012964:Sodium / Q000097:blood; D007507:Therapeutic Irrigation
D006454:Hemoglobins; D012964:Sodium; D000135:Acid Phosphatase