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过氧化氢膀胱冲洗:一种用于血凝块潴留的简单、安全且有效的处理方法。

Hydrogen peroxide bladder irrigation: A simple, safe and effective management option for clot retention.

作者信息

Stride Kaylyn, van Jaarsveld Návan, John Veena, John Jeff

机构信息

Division of Urology, Department of Surgery, Frere Hospital and Walter Sisulu University, East London, 5200, South Africa.

Department of Paediatrics and Child Health, Department of Paediatrics, Frere Hospital and Walter Sisulu University, East London, 5200, South Africa.

出版信息

Urol Case Rep. 2023 Oct 6;51:102579. doi: 10.1016/j.eucr.2023.102579. eCollection 2023 Nov.

Abstract

While the historical benefits of hydrogen peroxide on wounds and wound healing have recently been questioned, physicians have started to explore its other potential medicinal benefits. We present a case of a 14-year-old girl who presented to our urology unit with macroscopic haematuria and clot retention. Ultrasonography confirmed a large organised intravesical blood clot. Despite numerous attempts, manual bladder irrigation was unsuccessful and caused significant discomfort to the patient. Her clot retention was relieved after 4 irrigation cycles with a 3 % hydrogen peroxide solution. She experienced no complications or side effects post intravesical instillation of hydrogen peroxide.

摘要

虽然过氧化氢对伤口及伤口愈合的传统益处最近受到质疑,但医生们已开始探索其其他潜在的药用价值。我们报告一例14岁女孩,她因肉眼血尿和血凝块潴留就诊于我们的泌尿外科。超声检查证实膀胱内有一个大的机化血凝块。尽管多次尝试,手动膀胱冲洗均未成功,且给患者带来极大不适。在用3%过氧化氢溶液进行4次冲洗后,她的血凝块潴留症状得到缓解。膀胱内灌注过氧化氢后,她未出现并发症或副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6be6/10568079/45a9fd4b06e3/gr1.jpg

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