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[泌尿外科急诊管理:检测与治疗]

[Urological emergency management : Detection and treatment].

作者信息

Kranz Jennifer, Steffens Joachim, Michels Guido, Schneidewind Laila

机构信息

Klinik für Urologie und Kinderurologie, St.-Antonius Hospital gGmbH, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.

Universitätsklinik und Poliklinik für Urologie, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2021 May;116(4):361-372. doi: 10.1007/s00063-021-00810-7. Epub 2021 Apr 20.

DOI:10.1007/s00063-021-00810-7
PMID:33877428
Abstract

As a result of the restructuring of emergency care provided by statutory health insurance companies and demographic change, the number of people presenting to emergency departments in hospitals is continuously increasing. A significant proportion of these emergencies concern the specialist discipline of urology. The clinical manifestations in emergency medical care range from trauma-related injuries to the urogenital tract and urinary transport disorders to hematuria and life-threatening infections. Due to the high incidence of urological tumors and the urogenital tract's affection in other malignant diseases, oncological patients are also frequently affected by urological emergencies. Fast and efficient diagnostic and therapeutic action is crucial in these situations to achieve an optimal treatment result.

摘要

由于法定健康保险公司提供的急诊护理结构调整和人口结构变化,前往医院急诊科就诊的人数持续增加。这些急诊中有很大一部分涉及泌尿外科专科。急诊医疗中的临床表现范围从泌尿生殖道创伤相关损伤、尿液输送障碍到血尿和危及生命的感染。由于泌尿系统肿瘤的高发病率以及泌尿生殖道在其他恶性疾病中的受累情况,肿瘤患者也经常受到泌尿系统急诊的影响。在这些情况下,快速有效的诊断和治疗行动对于实现最佳治疗效果至关重要。

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1
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引用本文的文献

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[Position paper of the working group Urological Acute Medicine].[泌尿外科急性医学工作组立场文件]
Urologie. 2023 Sep;62(9):936-940. doi: 10.1007/s00120-023-02090-9. Epub 2023 Apr 28.

本文引用的文献

1
[Complicated urinary tract infections].[复杂性尿路感染]
Urologe A. 2020 Dec;59(12):1480-1485. doi: 10.1007/s00120-020-01343-1.
2
Epidemiology, definition and treatment of complicated urinary tract infections.流行病学、复杂性尿路感染的定义和治疗。
Nat Rev Urol. 2020 Oct;17(10):586-600. doi: 10.1038/s41585-020-0362-4. Epub 2020 Aug 25.
3
Clinical outcomes of hospitalised patients with catheter-associated urinary tract infection in countries with a high rate of multidrug-resistance: the COMBACTE-MAGNET RESCUING study.
高多重耐药率国家中与导尿管相关的尿路感染住院患者的临床结局:COMBACTE-MAGNET RESCUING 研究。
Antimicrob Resist Infect Control. 2019 Dec 3;8:198. doi: 10.1186/s13756-019-0656-6. eCollection 2019.
4
[Acute urinary retention in men: efficacy of alpha-blockers in catheter removal after urinary retention].男性急性尿潴留:α受体阻滞剂在尿潴留后拔除导尿管中的疗效
Urologe A. 2019 Jun;58(6):680-685. doi: 10.1007/s00120-019-0945-y.
5
The Investigation of Hematuria.血尿调查。
Dtsch Arztebl Int. 2018 Nov 30;115(48):801-807. doi: 10.3238/arztebl.2018.0801.
6
Desperate need for better management of Fournier's gangrene.迫切需要更好地管理福尼尔坏疽。
Cent European J Urol. 2018;71(3):360-365. doi: 10.5173/ceju.2018.1740. Epub 2018 Sep 22.
7
Significance of Hyperbaric Oxygenation in the Treatment of Fournier's Gangrene: A Comparative Study.高压氧疗在福尼尔坏疽治疗中的意义:一项对比研究
Urol Int. 2018;101(4):467-471. doi: 10.1159/000493898. Epub 2018 Oct 16.
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[Plastic reconstruction of external genitalia after Fournier's gangrene].[福尼尔坏疽后外生殖器的整形重建]
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Eur Urol Focus. 2016 Oct;2(4):345-347. doi: 10.1016/j.euf.2016.03.004. Epub 2016 Apr 1.
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Early Diagnosis and Surgical Treatment for Necrotizing Fasciitis: A Multicenter Study.坏死性筋膜炎的早期诊断与外科治疗:一项多中心研究
Front Surg. 2017 Feb 7;4:5. doi: 10.3389/fsurg.2017.00005. eCollection 2017.