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一名病因不明的小儿患者的难治性阴茎异常勃起。

Refractory priapism of unknown etiology in a pediatric patient.

作者信息

Majeed S, Schor J A, Jacobson S, Jagoda A, Mahadeo R

机构信息

Department of Emergency Medicine, New York Hospital Medical Center of Queens, Flushing 11355, USA.

出版信息

Pediatr Emerg Care. 2000 Oct;16(5):347-51. doi: 10.1097/00006565-200010000-00012.

DOI:10.1097/00006565-200010000-00012
PMID:11063367
Abstract

Priapism is a urologic emergency that can occur in any age group and every patient should receive prompt urologic consultation. Management of priapism is based on the recognition of underlying pathophysiology; ready differentiation between high-flow and low-flow priapism; reversal of any potential precipitating factors; the use of corporal aspiration irrigation combined with intracavernosal alpha adrenergic therapy; and when necessary, a shunting procedure. Delay in recognition or treatment can be crucial as the incidence of long-term complication rises substantially with the duration of the priapism.

摘要

阴茎异常勃起是一种泌尿外科急症,可发生于任何年龄组,每位患者均应及时接受泌尿外科会诊。阴茎异常勃起的治疗基于对潜在病理生理学的认识;准确区分高流量型和低流量型阴茎异常勃起;逆转任何潜在的诱发因素;采用阴茎海绵体抽吸冲洗联合海绵体内注射α肾上腺素能药物治疗;必要时进行分流手术。由于阴茎异常勃起持续时间越长,长期并发症的发生率显著上升,因此识别或治疗延迟可能至关重要。

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引用本文的文献

1
Posttraumatic high-flow priapism in children treated with autologous blood clot embolization: long-term results and review of the literature.儿童自体血凝块栓塞治疗后创伤后高流量阴茎异常勃起:长期结果和文献复习。
Pediatr Radiol. 2011 May;41(5):627-32. doi: 10.1007/s00247-010-1912-3. Epub 2010 Dec 3.
2
Priapism in children: treatment with embolotherapy.儿童阴茎异常勃起:栓塞治疗
Pediatr Radiol. 2007 May;37(5):483-7. doi: 10.1007/s00247-007-0441-1. Epub 2007 Mar 20.