老年人泌尿生殖系统急症。

Genitourinary Emergencies in Older Adults.

机构信息

Emergency Medicine, US Acute Care Solutions, Mercy Health West Hospital, Cincinnati, OH, USA; Geriatric Division, Department of Family & Community Medicine, University of Cincinnati, Cincinnati, Ohio, USA. Electronic address: https://twitter.com/npsi86.

Emergency Medicine, MedStar Franklin Square Medical Center, 9000 Franklin Square Dr, Baltimore, MD 21237, USA; Department of Emergency Medicine, University of Maryland School of Medicine, 110 S Paca St, 6th Floor, Suite 200, Baltimore, MD 21201, USA.

出版信息

Emerg Med Clin North Am. 2021 May;39(2):361-378. doi: 10.1016/j.emc.2021.01.003. Epub 2021 Mar 11.

DOI:10.1016/j.emc.2021.01.003

PMID:33863465

Abstract

Older adults are frequently seen in the emergency department for genitourinary complaints, necessitating that emergency physicians are adept at managing a myriad of genitourinary emergencies. Geriatric patients may present with acute kidney injury, hematuria, or a urinary infection and aspects of how managing these presentations differs from their younger counterparts is emphasized. Older adults may also present with acute urinary retention or urinary incontinence as a result of genitourinary pathology or other systemic etiologies. Finally, genital complaints as they pertain to older adults are briefly highlighted with emphasis on emergent management and appropriate referrals.

摘要

老年人在急诊科经常因泌尿系统疾病就诊，这就要求急诊医生能够熟练处理各种泌尿系统急症。老年患者可能会出现急性肾损伤、血尿或尿路感染，其处理方式与年轻患者有所不同，这一点需要重点强调。此外，老年患者也可能因泌尿系统疾病或其他系统性病因而出现急性尿潴留或尿失禁。最后，本文简要介绍了与老年人相关的生殖器疾病，并强调了紧急处理和适当转诊的重要性。