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尿潴留的解除会引发腹主动脉瘤破裂吗?

Can release of urinary retention trigger abdominal aortic aneurysm rupture?

作者信息

Luhmann Andreas, Powell-Bowns Matilda, Elseedawy Emad

机构信息

Department of Surgery, Perth Royal Infirmary, Perth and Kinross, UK

Department of Surgery, Perth Royal Infirmary, Perth and Kinross, UK.

出版信息

J Surg Case Rep. 2013 Apr 4;2013(4):rjt019. doi: 10.1093/jscr/rjt019.

DOI:10.1093/jscr/rjt019
PMID:24964430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3635222/
Abstract

Only 50% of abdominal aortic aneurysms present with the classic triad of hypotension, back pain and a pulsatile abdominal mass. This variability in symptoms can delay diagnosis and treatment. We present the case of a patient presenting with a unique combination of symptoms suggesting that decompression of urinary retention can lead to abdominal aortic aneurysm rupture.

摘要

只有50%的腹主动脉瘤患者会出现低血压、背痛和搏动性腹部肿块这一典型三联征。症状的这种变异性会延误诊断和治疗。我们报告一例患者,其症状的独特组合提示尿潴留减压可导致腹主动脉瘤破裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/1bf7623eda44/rjt01904.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/a7e2697d8cac/rjt01901.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/6f845b6a0f10/rjt01902.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/5d36a293d28a/rjt01903.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/1bf7623eda44/rjt01904.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/a7e2697d8cac/rjt01901.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/6f845b6a0f10/rjt01902.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/5d36a293d28a/rjt01903.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/3635222/1bf7623eda44/rjt01904.jpg

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Can release of urinary retention trigger abdominal aortic aneurysm rupture?尿潴留的解除会引发腹主动脉瘤破裂吗?
J Surg Case Rep. 2013 Apr 4;2013(4):rjt019. doi: 10.1093/jscr/rjt019.
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Distended bladder presenting with constipation and venous obstruction: a case report.膀胱扩张伴便秘和静脉梗阻:一例报告
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Ruptured abdominal aortic aneurysm presenting with acute urinary retention.破裂性腹主动脉瘤伴急性尿潴留。
Br J Clin Pract. 1992 Spring;46(1):73-4.
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Acute rupture of an aortic aneurysm mimicking the discus hernia syndrome. A case report.酷似椎间盘疝综合征的主动脉瘤急性破裂。病例报告。
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