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血尿与膳食补充剂——一例长期服用大蒜补充剂的患者在微创泌尿外科手术后出现明显出血的病例报告

Hematuria and dietary supplements - A case report on pronounced bleeding following a minimally invasive urological intervention in a patient on long term garlic supplements.

作者信息

Nair Arun, Abdelqader Bushra, Sureshkumar Seetha, Katmawai-Sabbagh Samer

机构信息

Department of Urology, St Georges University Hospital, Blackshaw Road, London, SW17 0QT, UK.

Department of Haematology, St Georges University Hospital, Blackshaw Road, London, SW17 0QT, UK.

出版信息

Urol Case Rep. 2023 Jul 4;50:102493. doi: 10.1016/j.eucr.2023.102493. eCollection 2023 Sep.

Abstract

This report focuses on a patient encounter with suspected significant hematuria post operation occurring primarily due to garlic supplementation. A 65-year-old male underwent day case PVP. He had significant hematuria post operation requiring added use of bipolar coagulation. He was fit and well with no other past medical or drug history apart from dietary supplementation of garlic extracts. There are various mechanisms that components of garlic like allicin can produce antiplatelet effect on blood. This represents a novel case of unexpected bleeding in patient strongly attributed to dietary supplements for a less invasive technique with better hemostatic profile like PVP.

摘要

本报告重点关注一例术后疑似严重血尿的患者病例,主要原因是补充大蒜。一名65岁男性接受了日间经皮前列腺汽化电切术(PVP)。术后出现严重血尿,需要额外使用双极电凝。除了饮食中补充大蒜提取物外,他身体健康,无其他既往病史或用药史。大蒜中的成分如大蒜素可通过多种机制对血液产生抗血小板作用。这是一例因饮食补充剂导致意外出血的新病例,该患者接受的是侵入性较小且止血效果较好的技术,如PVP。

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