Abstract：Objective： To investigate the mechanism and treatment of secondary hyperfibrinolysis after transurethral resection of prostate (TURP) surgery. Method： Clinical data of one patient with postoperative hemorrhage after TURP as secondary hyperfibrinolysis were reviewed and analyzed. Result：The patient had refractory hematuresis after TURP that cannot be corrected by anticoagulant drugs and conservative treatment. Coagulation indicated that fibrinogen continued to decrease and the diagnosis of secondary hyperfibrinolysis was made. After the replacement of fibrinolytic drugs and hemostasis, the hematuresis was improved. Conclusion： Some patients with TURP may have hyperactivation of fibrinolytic system. The hematuresis was difficult to be corrected without accurate diagnosis and management.
侯惠民, 刁统祥, 付春龙, 刘明. 经尿道前列腺等离子切除术后继发纤溶亢进1例并文献复习[J]. 微创泌尿外科杂志, 2019, 8(1): 54-57.
HOU Huimin, DIAO Tongxiang, FU Chunlong, LIU Ming. Report of one case of secondary hyperfibrinolysis after transurethral prostate resection surgery and literature review. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(1): 54-57.
