经直肠超声引导下前列腺穿刺活检后发生的灾难性脓毒症和出血。
Catastrophic sepsis and hemorrhage following transrectal ultrasound guided prostate biopsies.
作者信息
Toren Paul, Razik Roshan, Trachtenberg John
机构信息
Division of Urology, Department of Surgery, University of Toronto, Toronto, ON.
出版信息
Can Urol Assoc J. 2010 Feb;4(1):E12-4. doi: 10.5489/cuaj.785.
Abstract
We report 2 cases of catastrophic complications following routine transrectal ultrasound guided prostate biopsy. The first patient incurred near-fatal septic shock due to multi-resistant Escherichia coli. Due to the severity of his shock, he developed bilateral leg gangrene requiring amputations. The second patient incurred significant hemorrhage eventually requiring an emergent general anesthesia and surgical management to control hemorrhage after other measures failed. While rare events, these reports emphasize the caution needed for physicians who routinely order prostate biopsies.
摘要
我们报告了2例常规经直肠超声引导下前列腺穿刺活检术后发生的灾难性并发症。首例患者因多重耐药性大肠杆菌感染引发了近乎致命的感染性休克。由于休克严重，他出现了双侧腿部坏疽，需要截肢。第二例患者发生了严重出血，在其他措施均告失败后，最终需要紧急全身麻醉和手术治疗以控制出血。尽管这些是罕见事件，但这些报告强调了常规开具前列腺穿刺活检医嘱的医生需要谨慎行事。
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