自我给药的尿道内注射氯丙嗪：阴茎异常勃起的罕见原因。

Self-administered intraurethral chlorpromazine: an unusual cause of priapism.

作者信息

Jackson S C, Walker J S

机构信息

Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City 73126.

出版信息

Am J Emerg Med. 1991 Mar;9(2):171-5. doi: 10.1016/0735-6757(91)90185-m.

DOI:10.1016/0735-6757(91)90185-m

PMID:1994948

Abstract

Priapism is a prolonged, painful penile erection unaccompanied by sexual desire and not alleviated by ejaculation. The etiologies of priapism are numerous and diverse. Priapism can be a serious adverse effect of psychotropic medications. The case of a 36-year-old man who demonstrated priapism, 48 hours after inserting a crushed chlorpromazine tablet into the urethral meatus of his penis, is reported. Priapism induced by this route of drug administration has not been previously described. The pathophysiology and treatment of priapism are reviewed.

摘要

阴茎异常勃起是一种持续时间长且伴有疼痛的阴茎勃起，无性欲且射精不能缓解。阴茎异常勃起的病因众多且多样。阴茎异常勃起可能是精神药物的严重不良反应。本文报告了一名36岁男性的病例，该患者在将碾碎的氯丙嗪片插入阴茎尿道口48小时后出现阴茎异常勃起。此前尚未有通过这种给药途径诱发阴茎异常勃起的描述。本文对阴茎异常勃起的病理生理学和治疗方法进行了综述。