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阴茎肿胀且有明显排尿困难的婴儿。

Infant with swollen penis and apparent dysuria.

作者信息

Fanny Sanemba Aya, Chumpitazi Corrie Elizabeth

机构信息

Department of Pediatrics, Section of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA.

出版信息

Clin Exp Emerg Med. 2020 Jun;7(2):136-138. doi: 10.15441/ceem.18.086. Epub 2020 Jun 30.

DOI:10.15441/ceem.18.086
PMID:32635705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7348680/
Abstract

Circumcision is a common elective surgical procedure performed worldwide. The Plastibell ring is a plastic device placed between the penis and the foreskin to circumcise a newborn male. This device is used routinely in neonatal circumcision, but complications such as bleeding, infection, and retention may occur. This case report describes the retention of a Plastibell device in a 21-day-old male and an innovative method to remove the device using a ring cutter. Emergency physicians should be aware of ring retention as a complication of the Plastibell ring and the proposed removal technique.

摘要

包皮环切术是一种在全球范围内广泛开展的常见择期外科手术。Plastibell环是一种放置在阴茎和包皮之间用于给新生儿男性进行包皮环切的塑料装置。该装置在新生儿包皮环切术中常规使用,但可能会出现出血、感染和环滞留等并发症。本病例报告描述了一名21天大男婴发生的Plastibell环滞留情况以及一种使用环切器移除该装置的创新方法。急诊医生应意识到环滞留是Plastibell环的一种并发症以及所建议的移除技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87d/7348680/5831428dc527/ceem-18-086f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87d/7348680/d231fd50e603/ceem-18-086f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87d/7348680/9468026cf1c2/ceem-18-086f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87d/7348680/5831428dc527/ceem-18-086f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87d/7348680/d231fd50e603/ceem-18-086f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87d/7348680/9468026cf1c2/ceem-18-086f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87d/7348680/5831428dc527/ceem-18-086f3.jpg

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1
Infant with swollen penis and apparent dysuria.阴茎肿胀且有明显排尿困难的婴儿。
Clin Exp Emerg Med. 2020 Jun;7(2):136-138. doi: 10.15441/ceem.18.086. Epub 2020 Jun 30.
2
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本文引用的文献

1
Plastibell circumcision of 2,276 male infants: a multi-centre study.2276例男婴的包皮环切术:一项多中心研究。
Pan Afr Med J. 2016 Feb 9;23:35. doi: 10.11604/pamj.2016.23.35.7841. eCollection 2016.
2
Penile injuries from proximal migration of the Plastibell circumcision ring.因 Plastibell 环切环近端迁移导致的阴茎损伤。
J Pediatr Urol. 2010 Feb;6(1):23-7. doi: 10.1016/j.jpurol.2009.05.011. Epub 2009 Jun 30.
3
Circumcision complications associated with the Plastibell device and conventional dissection surgery: a trial of 586 infants of ages up to 12 months.
与包皮环切夹装置及传统解剖手术相关的包皮环切并发症:一项针对586名年龄在12个月以下婴儿的试验。
Adv Urol. 2008;2008:606123. doi: 10.1155/2008/606123. Epub 2008 Nov 4.
4
A unique service in UK delivering Plastibell circumcision: review of 9-year results.英国一项提供包皮环切夹环切术的独特服务:9年结果回顾
Pediatr Surg Int. 2007 Jan;23(1):45-8. doi: 10.1007/s00383-006-1805-6. Epub 2006 Oct 6.
5
Plastibell complications revisited.再探包皮环扎术并发症
Clin Pediatr (Phila). 1999 Apr;38(4):239-42. doi: 10.1177/000992289903800406.