Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Adv Emerg Nurs J. 2022;44(2):121-126. doi: 10.1097/TME.0000000000000403.
Patients presenting to the emergency department with priapism require immediate evaluation and treatment. Priapism is a urological emergency that carries the risk of erectile dysfunction if not managed in a timely manner. Therefore, it is important for providers to be able to identify and manage these patients emergently. Priapism has various causes, and knowing the difference between high-flow and low-flow priapism will help determine the appropriate patient management. Although the prevalence of priapism is thought to be low, there have been increasing reports over the years linked to new drugs used for the treatment of erectile dysfunction (Roghmann et al., 2013). For this reason, it is imperative that providers understand the etiology behind the different causes of priapism. Using a case of drug-induced priapism as an exemplar, this article discusses the epidemiology, etiology, and management of priapism conditions.
患者因阴茎异常勃起到急诊科就诊,需要立即进行评估和治疗。阴茎异常勃起是一种泌尿外科急症,如果不能及时处理,可能会导致勃起功能障碍。因此,医生必须能够及时识别和处理这些患者。阴茎异常勃起有多种病因,了解高流量和低流量阴茎异常勃起的区别有助于确定合适的患者管理方法。虽然阴茎异常勃起的患病率被认为较低,但近年来与用于治疗勃起功能障碍的新药相关的报告有所增加(Roghmann 等人,2013 年)。出于这个原因,医生必须了解不同病因导致的阴茎异常勃起的发病机制。本文以药物引起的阴茎异常勃起为例,讨论了阴茎异常勃起的流行病学、病因和管理。