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高压性慢性尿潴留。发病率、病因及潜在不良影响。

High pressure chronic retention. Incidence, aetiology and sinister implications.

作者信息

O'Reilly P H, Brooman P J, Farah N B, Mason G C

出版信息

Br J Urol. 1986 Dec;58(6):644-6. doi: 10.1111/j.1464-410x.1986.tb05903.x.

Abstract

A prospective analysis of 36 consecutive cases of high pressure chronic retention presenting over a 3-year period is described. Thirty-nine per cent of patients had malignant prostates and 14% had bladder tumours (overall malignancy rate 53%). The dangers of mismanagement of high pressure chronic retention include uraemic death and hypovolaemic circulatory collapse from neglected post-obstructive diuresis. The clinician should be prepared to find a high incidence of urological malignant disease in patients presenting with this syndrome.

摘要

本文描述了对3年内连续出现的36例高压性慢性尿潴留病例的前瞻性分析。39%的患者患有前列腺癌,14%患有膀胱肿瘤(总体恶性肿瘤发生率为53%)。高压性慢性尿潴留处理不当的风险包括尿毒症死亡以及因忽视梗阻后利尿导致的低血容量性循环衰竭。临床医生应做好准备,以发现患有此综合征的患者中泌尿系统恶性疾病的高发病率。

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