急性尿潴留和尿失禁。
Acute urinary retention and urinary incontinence.
作者信息
Curtis L A, Dolan T S, Cespedes R D
机构信息
Department of Emergency Medicine, Georgetown University Medical Center, Washington, DC, USA.
出版信息
Emerg Med Clin North Am. 2001 Aug;19(3):591-619. doi: 10.1016/s0733-8627(05)70205-4.
AUR is a commonly seen genitourinary emergency. It has many etiologies, including obstructive, neurogenic, pharmacologic, and extraurinary causes. Treatment is immediate bladder decompression by transurethral catheterization and treatment of the provoking etiology. Urinary incontinence is less commonly seen as a presenting complaint in the ED. For the emergency physician, the key lies in recognizing its underlying cause. Neurologic and pharmacologic causes need to be considered in all patients. Urinary incontinence that is not caused by a neurologic emergency can be referred for further outpatient evaluation.
急性尿潴留是一种常见的泌尿生殖系统急症。其病因众多，包括梗阻性、神经性、药物性及泌尿系统外原因。治疗方法是通过经尿道插管立即解除膀胱压力，并对诱发病因进行治疗。尿失禁作为急诊科的首发症状较少见。对于急诊医生而言，关键在于识别其潜在病因。所有患者都需考虑神经和药物性病因。非由神经急症引起的尿失禁可转诊至门诊作进一步评估。
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