一名创伤性脑损伤患者的体位性尿潴留：病例报告
Position-dependent urinary retention in a traumatic brain injury patient: a case report.
作者信息
Chernev Ivan, Yan Kun
机构信息
Department of Rehabilitation Medicine, Boston University Medical Center, Boston, Massachusetts, USA.
出版信息
Cases J. 2009 Nov 30;2:9120. doi: 10.1186/1757-1626-2-9120.
INTRODUCTION
Voiding disorders are common complication after traumatic brain injury. Usually, they are caused by neurogenic bladder although they can also occur as a result of other pathologic processes and conditions as well as side effects of medications.
CASE PRESENTATION
A 62-year-old traumatic brain injury patient with position-dependent urinary retention is presented in this article. Neurogenic bladder with detrusor sphincter dyssynergia was suspected initially, with detection of multiple small bladder stones as the final cause of his urinary retention afterwards.
CONCLUSION
Careful clinical, imaging, and urodynamic evaluation must be performed in traumatic brain injury patients to exclude the coexistence of two or more factors leading to urinary dysfunction in this population group.
引言
排尿障碍是创伤性脑损伤后的常见并发症。通常，它们由神经源性膀胱引起，尽管也可能由于其他病理过程和状况以及药物副作用而发生。
病例报告
本文介绍了一名62岁的创伤性脑损伤患者，其存在体位性尿潴留。最初怀疑是神经源性膀胱伴逼尿肌括约肌协同失调，后来发现多个小膀胱结石是其尿潴留的最终原因。
结论
对于创伤性脑损伤患者，必须进行仔细的临床、影像学和尿动力学评估，以排除导致该人群排尿功能障碍的两种或更多因素并存的情况。
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