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阴茎异常勃起——药物治疗综述

Priapism--a review of the medical management.

作者信息

Maan Zafar, Arya Manit, Patel Hitendra R H

机构信息

The South West Thames Institute of Nephrology, Epsom and St. Helier NHS Trust, Surrey, UK.

出版信息

Expert Opin Pharmacother. 2003 Dec;4(12):2271-7. doi: 10.1517/14656566.4.12.2271.

DOI:10.1517/14656566.4.12.2271
PMID:14640926
Abstract

Priapism is characterised by the presence of prolonged, often painful penile erection in the absence of a sexual stimulus. This rare condition has a range of aetiologies, but is most common following self-administration of injection therapy for impotence. Priapism may be classified into high- and low-flow states. Low-flow priapism is an emergency ischaemic condition requiring prompt recognition and treatment to avoid devastating long-term complications of erectile dysfunction. Wide-ranging medical therapies are covered in this review. Diagnostic and treatment algorithms are suggested in light of the current available literature.

摘要

阴茎异常勃起的特征是在没有性刺激的情况下出现长时间、通常伴有疼痛的阴茎勃起。这种罕见病症有多种病因,但最常见于因治疗阳痿而自行注射治疗之后。阴茎异常勃起可分为高流量型和低流量型。低流量型阴茎异常勃起是一种紧急缺血性病症,需要迅速识别和治疗,以避免勃起功能障碍带来的严重长期并发症。本综述涵盖了广泛的医学治疗方法。根据当前可得文献提出了诊断和治疗方案。

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1
Priapism--a review of the medical management.阴茎异常勃起——药物治疗综述
Expert Opin Pharmacother. 2003 Dec;4(12):2271-7. doi: 10.1517/14656566.4.12.2271.
2
European Association of Urology guidelines on priapism.欧洲泌尿外科学会阴茎异常勃起指南。
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[Priapism: review of current knowledge and presentation of a diagnostic and therapeutic algorithm].[阴茎异常勃起:当前知识综述及诊断与治疗流程介绍]
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Low-flow priapism needs recognition and early correct treatment.低流量型阴茎异常勃起需要识别并尽早进行正确治疗。
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[Priapisms].[阴茎异常勃起]
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Priapism. From Priapus to the present time.阴茎异常勃起。从普里阿普斯到现代。
Urol Clin North Am. 2001 May;28(2):391-403. doi: 10.1016/s0094-0143(05)70147-6.
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Intracavernosal adrenalin injection in priapism.阴茎异常勃起时海绵体内注射肾上腺素
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BMC Anesthesiol. 2025 May 8;25(1):233. doi: 10.1186/s12871-025-03068-0.
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High-flow priapism due to bilateral cavernous artery fistulas treated by unilateral embolization: A case report.经单侧栓塞治疗双侧海绵体动脉瘘所致的高流量型阴茎异常勃起:一例报告
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Successful Management of Intraoperative Priapism under General Anesthesia during Transurethral Surgery - A Case Series with Review of Its Management.
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The Management of Unplanned Erection during Endoscopic Urological Surgery.内镜泌尿外科手术中意外勃起的处理
Curr Urol. 2017 Aug;10(3):113-117. doi: 10.1159/000447163. Epub 2017 Jul 30.
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Intravenous dexmedetomidine for treatment of intraoperative penile erection.静脉注射右美托咪定治疗术中阴茎勃起。
Int Urol Nephrol. 2012 Apr;44(2):353-7. doi: 10.1007/s11255-011-0023-x. Epub 2011 Jun 24.
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Evaluation and management of priapism: 2009 update.阴茎异常勃起的评估与治疗:2009 年更新版。
Nat Rev Urol. 2009 May;6(5):262-71. doi: 10.1038/nrurol.2009.50.