경요도 전립선 적출술시 척추마취와 전신마취에 따른 응고장애의 비교

• Published in: Korean journal of anesthesiology Vol. 34; no. 1; pp. 92 - 97
• Main Authors: 신옥영, OK Young Shin, 서진호, Jin Ho Seo, 권무일, Moo II Kwon, 김진일, Jin II Kim
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 30.01.1998
• Subjects: Anesthesia; spinal. Surgery; transurethral resection of prostate
• ISSN: 2005-6419

Background : Unexpected and uncontrolled bleeding remains the principal fear of the surgeon performing transurethral resection of prostate(TURP). Many surgeons and anesthesiologists believe the spinal anesthesia reduces blood loss during TURP. This study evaluate the effects of spinal versus general anesthetic technique on the development of postoperative coagulopathies. Methods : 20 patients undergoing TURP were randomly allocated into 2 groups. Group I(n=10) received general anesthesia and group II(n=10), spinal anesthesia. PT(prothrombin time), PTT(partial thromboplstin time), Hb(hemoglobin), FDP(fibrin degradation product), platelet and fibrinogen were measured before induction and 24 hours postoperatively. Results : There was no significant difference in measured coagulation variables between the two groups, but there was significant decrease in postoperative Hb compared to preoperative values in both groups and the effect was more pronounced in the general anesthesia than in the spinal anethesia group. Conclusion : It is concluded that coagulopathies after TURP is not affected by the anesthetic technique. (Korean J Anesthesiol 1998; 34: 92∼97)