Waale W H, Bruijns E, Dautzenberg P J
Afdeling Klinische Geriatrie, Rijnstate Ziekenhuis, Oss.
Tijdschr Gerontol Geriatr. 2001 Jun;32(3):100-3.
A delirium due to urinary retention confuses both patient and physician. Three patients presented with delirium and/or physical deterioration had a bladder retention. A man aged 82 had delirium and an acute renal failure due to a urinary retention with an enlarged prostate gland. A woman aged 81 had a delirium and a bladder retention due to an atonic bladder. A man aged 71 showed cognitive deterioration and a bladder retention due to a backbone-fracture and faecal impaction. In the elderly it is very important to include urinary retention in differential diagnosis because its presentation can be atypical.
因尿潴留引起的谵妄会使患者和医生都感到困惑。三名出现谵妄和/或身体状况恶化的患者存在膀胱潴留。一名82岁男性因前列腺肿大导致尿潴留,进而出现谵妄和急性肾衰竭。一名81岁女性因膀胱张力缺乏出现谵妄和膀胱潴留。一名71岁男性因脊椎骨折和粪便嵌塞出现认知能力下降和膀胱潴留。在老年人中,将尿潴留纳入鉴别诊断非常重要,因为其表现可能不典型。