[与系统性红斑狼疮和肾病综合征相关的低流量型阴茎异常勃起]
[Low-flow priapism associated with systemic lupus erythematosus and nephrotic syndrome].
作者信息
Muñoz Vélez D, Rebassa Llull M, Conte Visús A, Ozonas Moragues M
机构信息
Servicio de Urología, Hospital Son Dureta, Palma de Mallorca, España.
出版信息
Arch Esp Urol. 2000 Dec;53(10):929-30.
OBJECTIVE
To present a case of priapism associated with systemic lupus erythematosus and nephrotic syndrome.
METHODS
A 29-year-old male patient with a history of multiple pathologies consulted at the emergency services with painful priapism of 12 hours' duration. The intracavernosal aspirated blood had a venous appearance. Among the risk factors analyzed, systemic lupus erythematosus and nephrotic syndrome are recognized to cause hypercoagulability, a condition that can lead to low flow priapism.
RESULTS
There was no response to lavage-aspiration or intracorporeal administration of an alpha-adrenergic agonist. The high surgical risk of the patient advised against surgery. The priapism gradually diminished until complete remission on the sixth day. The patient has remained without spontaneous erection.
CONCLUSION
Systemic lupus erythematosus and nephrotic syndrome can cause low flow priapism. The best treatment is by prevention with adequate antithrombotic prophylaxis.
目的
介绍一例与系统性红斑狼疮和肾病综合征相关的阴茎异常勃起病例。
方法
一名有多种病史的29岁男性患者因持续12小时的疼痛性阴茎异常勃起前往急诊就诊。海绵体内抽取的血液呈静脉血外观。在分析的危险因素中，系统性红斑狼疮和肾病综合征被认为会导致高凝状态，这种情况可导致低流量型阴茎异常勃起。
结果
冲洗抽吸或阴茎海绵体内注射α-肾上腺素能激动剂均无效果。患者手术风险高，不建议进行手术。阴茎异常勃起逐渐减轻，直至第六天完全缓解。患者一直无法自发勃起。
结论
系统性红斑狼疮和肾病综合征可导致低流量型阴茎异常勃起。最佳治疗方法是通过充分的抗血栓预防措施进行预防。
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