Kaplanian S, Chambers N A, Forsyth I
Department of Anaesthesia and Pain Management, Princess Margaret Hospital for Children, Perth, WA 6008, Australia.
Anaesthesia. 2007 Jul;62(7):741-3. doi: 10.1111/j.1365-2044.2007.05060.x.
We report an ischaemic penile glans following circumcision and a dorsal penile nerve block in a 9-year-old boy. Ischaemia of the glans penis is a rare complication associated independently with both circumcision and dorsal penile nerve blocks. There are a number of pathophysiological mechanisms of this ischaemia and its management is varied and not well recorded. We report the successful management of this complication using a caudal epidural block and also discuss technical aspects of penile nerve blocks.
我们报告了一名9岁男孩在包皮环切术和阴茎背神经阻滞术后出现阴茎头缺血的病例。阴茎头缺血是一种罕见的并发症，与包皮环切术和阴茎背神经阻滞均独立相关。这种缺血存在多种病理生理机制，其处理方法多样且记录不完善。我们报告了使用骶管硬膜外阻滞成功处理该并发症的情况，并讨论了阴茎神经阻滞的技术要点。
