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一名有泌尿系统症状的25岁氯胺酮长期使用者;病例报告

A 25-Year-Old Chronic Ketamine User with Urinary Symptoms; a Case Report.

作者信息

Wu Chin-Chu, Lin Aming Chor-Ming

机构信息

Department of Medical Imaging, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

Emergency Department, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

出版信息

Arch Acad Emerg Med. 2022 Jan 31;10(1):e12. doi: 10.22037/aaem.v10i1.1449. eCollection 2022.

DOI:10.22037/aaem.v10i1.1449
PMID:35402990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8986501/
Abstract

Ketamine is mainly used for short-acting general anesthesia, chronic pain, sedation, depression, and bipolar disorder. Long-term ketamine use may cause lower urinary tract symptoms and voiding dysfunction. Small capacity and fibrotic bladder can be associated with chronic ketamine use. Here, we present a 25-year-old male with a history of chronic ketamine use complicated with contracted heart-shape bladder.

摘要

氯胺酮主要用于短效全身麻醉、慢性疼痛、镇静、抑郁症和双相情感障碍。长期使用氯胺酮可能会导致下尿路症状和排尿功能障碍。膀胱容量减小和膀胱纤维化可能与长期使用氯胺酮有关。在此,我们报告一名25岁男性,有长期使用氯胺酮史,并发心形膀胱挛缩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3873/8986501/e70de23f2c08/aaem-10-e12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3873/8986501/e70de23f2c08/aaem-10-e12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3873/8986501/e70de23f2c08/aaem-10-e12-g001.jpg

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1
A 25-Year-Old Chronic Ketamine User with Urinary Symptoms; a Case Report.一名有泌尿系统症状的25岁氯胺酮长期使用者;病例报告
Arch Acad Emerg Med. 2022 Jan 31;10(1):e12. doi: 10.22037/aaem.v10i1.1449. eCollection 2022.
2
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本文引用的文献

1
Ketamine for the treatment of major depressive disorder and bipolar depression: A review of the literature.氯胺酮用于治疗重度抑郁症和双相抑郁症:文献综述
Ment Health Clin. 2018 Mar 23;7(1):16-23. doi: 10.9740/mhc.2017.01.016. eCollection 2017 Jan.
2
Management of complications of ketamine abuse: 10 years' experience in Hong Kong.氯胺酮滥用并发症的管理:香港十年经验
Hong Kong Med J. 2018 Apr;24(2):175-181. doi: 10.12809/hkmj177086. Epub 2018 Apr 6.
3
The clinical presentation and diagnosis of ketamine-associated urinary tract dysfunction in Singapore.
新加坡氯胺酮相关泌尿道功能障碍的临床表现与诊断
Singapore Med J. 2015 Dec;56(12):660-4; quiz 665. doi: 10.11622/smedj.2015185.
4
Lower urinary tract destruction due to ketamine: a report of 4 cases and review of literature.氯胺酮致下尿路破坏 4 例报告并文献复习
J Addict Med. 2012 Mar;6(1):85-8. doi: 10.1097/ADM.0b013e3182312863.
5
Ketamine-associated lower urinary tract destruction: a new radiological challenge.氯胺酮相关性下尿路破坏:一种新的影像学挑战。
Clin Radiol. 2010 Oct;65(10):795-800. doi: 10.1016/j.crad.2010.05.003. Epub 2010 Jul 29.
6
Emergency department presentation of ketamine abusers in Hong Kong: a review of 233 cases.香港氯胺酮滥用者在急诊科的表现:233 例病例回顾。
Hong Kong Med J. 2010 Feb;16(1):6-11.
7
The destruction of the lower urinary tract by ketamine abuse: a new syndrome?氯胺酮滥用对下尿路的损害:一种新综合征?
BJU Int. 2008 Dec;102(11):1616-22. doi: 10.1111/j.1464-410X.2008.07920.x. Epub 2008 Aug 1.