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[一名糖尿病患者阴茎坏死:病例报告]

[Necrosis of the penis in a diabetic patient: presentation of a case].

作者信息

López Pacios José Carlos, Sánchez Merino José María, Piñeiro Fernández María del Carmen, Parra Muntaner Luis, Gómez Cisneros Sergio Carlos, García Alonso Jesús

机构信息

Servicio de Urgencias, Hospital del Bierzo, Ponferrada, León, España.

出版信息

Arch Esp Urol. 2003 May;56(4):434-6.

Abstract

OBJECTIVES

To present a short review of the diagnosis, clinical features, and treatment of male genitalia necrosis under the format of a case report.

METHODS

We review the case of a diabetic patient without good blood sugar control who suffered from various diabetic complications diagnosed and treated at our hospital of a penile necrosis. We perform a bibliographic review about male genitalia necrosis regarding its etiology, diagnosis and treatment.

RESULTS

Male genitalia necrosis is a rare disease but it is associated with high morbidity and mortality. The present case was diagnosed at the emergency room at our Hospital. Conservative treatment with antibiotic therapy and corticosteroid ointments was undertaken successfully.

CONCLUSIONS

To perform an etiologic evaluation of the necrosis (dry or infectious) is important to select the right treatment. The high mortality of these diseases requires a precise and early diagnosis, since this influences the good or bad evolution of the disease.

摘要

目的

以病例报告的形式对男性生殖器坏死的诊断、临床特征及治疗进行简要综述。

方法

我们回顾了一名血糖控制不佳的糖尿病患者的病例,该患者在我院被诊断并治疗了阴茎坏死等各种糖尿病并发症。我们就男性生殖器坏死的病因、诊断和治疗进行了文献综述。

结果

男性生殖器坏死是一种罕见疾病,但发病率和死亡率都很高。本病例在我院急诊室被诊断出来。成功采用了抗生素治疗和皮质类固醇软膏的保守治疗方法。

结论

对坏死(干性或感染性)进行病因评估对于选择正确的治疗方法很重要。这些疾病的高死亡率需要精确且早期的诊断,因为这会影响疾病的预后。

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