珠氯噻醇诱发的缺血性阴茎异常勃起：病例报告及文献综述
Zuclopenthixol Induced Ischemic Priapism: Case Report and Review of Literature.
作者信息
Mansour Elias, Danaf Samer, Ghousayneh Daniel, Assaf Georges, Ghantous Imad, El-Khoury Fouad
机构信息
Department of Urology, University of Balamand, El-Koura, Lebanon.
Department of urology, Saint George hospital university medical center, Achrafieh, Lebanon.
出版信息
J Family Reprod Health. 2023 Jun;17(2):109-112. doi: 10.18502/jfrh.v17i2.12875.
OBJECTIVE
Present a case of zuclopenthixol associated priapism, literature review and focus on the stuttering priapism entity as a potential serious complication as well as providing information about possible preventive treatments.
CASE REPORT
A 44 year-old male patient with history of cocaine abuse with associated priapism presents with acute painful erection after starting zuclopenthixol for treatment of a psychotic episode. This episode was later followed by many other similar episodes defined as stuttering priapism.
CONCLUSION
Acute ischemic priapism is a potential serious side effect of antipsychotics that physicians especially psychiatrists needs to be aware of especially if the patient has previous episodes in order to prevent reoccurrence.
目的
报告一例与珠氯噻醇相关的阴茎异常勃起病例，进行文献综述，并重点关注间歇性阴茎异常勃起这一潜在严重并发症，同时提供有关可能的预防性治疗的信息。
病例报告
一名44岁男性患者，有可卡因滥用史且伴有阴茎异常勃起，在开始使用珠氯噻醇治疗精神病发作后出现急性疼痛性勃起。随后出现了许多其他类似发作，被定义为间歇性阴茎异常勃起。
结论
急性缺血性阴茎异常勃起是抗精神病药物的一种潜在严重副作用，医生尤其是精神科医生需要加以注意，特别是如果患者有既往发作史，以防止复发。
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