[慢性膀胱扩张后肺血栓栓塞症]
[Pulmonary thromboembolism after chronic bladder distention].
作者信息
Sousa Escandon M A, Alejandro M, Garcia Figueiras R, Armesto Fernandez M, Golpe Gomez R, Mateos Colino A, Vazquez Pedreda M L
机构信息
Servicio de Urologia, Hospital Comarcal de Monforte, 27400 Monforte de Lemos, Lugo, Espagne.
出版信息
Prog Urol. 2001 Apr;11(2):323-6.
OBJECTIVE
To report a case of pulmonary embolism secondary to chronic over-distended bladder, responsible for iliac vein obstruction.
CLINICAL CASE
A 73-year-old patient presented with sudden onset of pulmonary embolism, confirmed by isotope lung scan, after drainage of 2,300 cc of urine from an over-distended bladder, responsible for bilateral iliac vein obstruction and a bilateral obstructive uropathy. The patient had a favourable course after anticoagulation with heparin and temporary bladder catheterization, leading to resolution of the peripheral oedema and obstructive uropathy.
CONCLUSION
About thirty cases of obstruction of large pelvic vessels due to over-distended bladder have been reported to date. However, and after an extensive review of the literature, this case appears to be the first report of pulmonary embolism secondary to chronic over-distended bladder.
目的
报告一例继发于慢性膀胱过度膨胀导致髂静脉阻塞的肺栓塞病例。
临床病例
一名73岁患者，在从过度膨胀的膀胱引流2300毫升尿液后，突发肺栓塞，同位素肺扫描确诊，该膀胱过度膨胀导致双侧髂静脉阻塞和双侧梗阻性尿路病。患者在接受肝素抗凝和临时膀胱插管后病情好转，外周水肿和梗阻性尿路病得以缓解。
结论
迄今为止，已报道约30例因膀胱过度膨胀导致大盆腔血管阻塞的病例。然而，在广泛查阅文献后，本病例似乎是首例关于慢性膀胱过度膨胀继发肺栓塞的报告。
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