Topaktaş Ramazan, Altın Selçuk, Aydın Cemil, Akkoç Ali, Yılmaz Yakup
Clinic of Urology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
Turk J Urol. 2014 Dec;40(4):216-20. doi: 10.5152/tud.2014.77861.
Many patients consult emergency services with urological complaints. The aim of this study was to investigate the epidemiology, clinical presentation and treatments of urological emergency cases in a training and research hospital.
We retrospectively evaluated urological emergency patients referred to the emergency unit between July 2012 and July 2013 according to age, gender, affected organ, radiological imaging techniques and treatment.
Among 141.844 emergency cases, 3.113 (2.19%) were urological emergencies and 53.2% of the patients were male (mean age: 49.1), and 46.8% of them were female (median age: 42.8). The most frequent illness was genitourinary infection constituting 41.2% of the cases followed by renal colic (36.9%). Among the urological emergencies 483 (15.5%) patients were hospitalized and 152 surgical operations were performed. The mostly performed procedure was the placement of a suprapubic catheter in 34 patients constituting (22.3%) of the cases. Totally eight patients were referred to another experienced health center due to different reasons.
Most of the urological emergency patients do not require emergency surgical interventions however, timely identification and management of urological emergencies with in-depth clinical evaluation are important to prevent late complications. Therefore the doctors working in emergency services must be heedful of urological emergencies.
许多患者因泌尿系统疾病前来急诊。本研究旨在调查一家培训与研究医院中泌尿系统急诊病例的流行病学、临床表现及治疗情况。
我们回顾性评估了2012年7月至2013年7月间转诊至急诊室的泌尿系统急诊患者，评估内容包括年龄、性别、受累器官、放射影像学技术及治疗情况。
在141844例急诊病例中，3113例（2.19%）为泌尿系统急诊，其中53.2%的患者为男性（平均年龄：49.1岁），46.8%为女性（中位年龄：42.8岁）。最常见的疾病是泌尿生殖系统感染，占病例的41.2%，其次是肾绞痛（36.9%）。在泌尿系统急诊患者中，483例（15.5%）住院治疗，共进行了152台手术。最常施行的手术是耻骨上膀胱造瘘术，共34例（占病例的22.3%）。共有8例患者因不同原因转诊至另一家经验丰富的医疗中心。
大多数泌尿系统急诊患者不需要紧急手术干预，然而，通过深入的临床评估及时识别和处理泌尿系统急诊对于预防晚期并发症很重要。因此，在急诊工作的医生必须留意泌尿系统急诊。
