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一名女性因神经源性下尿路功能障碍而留置导尿管约 30 年，在接受膀胱切除术时发生危及生命的并发症的病例报告。

Case report of life-threatening complications following cystectomy in a woman with neurogenic lower urinary tract dysfunction treated with indwelling bladder catheter for about 30 years.

机构信息

Urology Unit, Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense, University of Modena and Reggio Emilia, Modena, Italy.

Urology Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.

出版信息

Acta Biomed. 2021 Apr 30;92(S1):e2021086. doi: 10.23750/abm.v92iS1.8615.

DOI:10.23750/abm.v92iS1.8615
PMID:33944853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8142763/
Abstract

Patients with neurogenic lower urinary tract dysfunction (NLUTD), specially with indwelling bladder catheter (iBC), have an increased risk of developing bladder stones, incomplete bladder emptying, recurrent urinary tract infections, sepsis, urethral trauma and bladder cancer. We present the case of a patient with a large bladder stone in iatrogenic NLUTD treated with iBC for about 30 years, who underwent a cystectomy followed by several life-threatening complications.

摘要

神经源性下尿路功能障碍（NLUTD）患者，特别是留置导尿管（iBC）的患者，发生膀胱结石、不完全排空膀胱、反复尿路感染、败血症、尿道创伤和膀胱癌的风险增加。我们报告了一例因 iBC 治疗约 30 年而导致医源性 NLUTD 的患者，其发生了巨大膀胱结石，并随后出现了危及生命的多种并发症，最终接受了膀胱切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb2f/8142763/a1407c934f04/ACTA-92-86-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb2f/8142763/8a47cb1e4f8f/ACTA-92-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb2f/8142763/a1407c934f04/ACTA-92-86-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb2f/8142763/8a47cb1e4f8f/ACTA-92-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb2f/8142763/a1407c934f04/ACTA-92-86-g002.jpg

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本文引用的文献

1
Continuous low-dose antibiotic prophylaxis to prevent urinary tract infection in adults who perform clean intermittent self-catheterisation: the AnTIC RCT.连续低剂量抗生素预防疗法用于接受清洁间歇性自我导尿成人预防尿路感染：AnTIC RCT 研究。
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Neurogenic bladder: from diagnosis to management.神经源性膀胱：从诊断到治疗
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Systematic review of urological followup after spinal cord injury.脊髓损伤后的泌尿科随访的系统评价。
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Catheterization: possible complications and their prevention and treatment.导管插入术：可能的并发症及其预防和治疗
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Guidelines on neurogenic lower urinary tract dysfunction.神经源性下尿路功能障碍指南
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Complications from long-term indwelling Foley catheters in female patients with neurogenic bladders.神经源性膀胱女性患者长期留置 Foley 导尿管的并发症
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