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沙特阿拉伯一家急诊科的阴茎异常勃起病例报告:一家三级医疗医院的回顾性研究。

Priapism Presentations in a Saudi Arabian Emergency Department: A Retrospective Study at a Tertiary Care Hospital.

作者信息

Alghalyini Baraa, Zaidi Abdul Rehman Zia, Atif Kanza, Mosharraf Noorah, Tamim Hala, Qureshi Muhammad Nauman

机构信息

Department of Family and Community Medicine, College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia.

Department of Emergency Medicine, King Faisal Specialist Hospital and Research Center, Riyadh 11564, Saudi Arabia.

出版信息

Healthcare (Basel). 2024 Aug 28;12(17):1716. doi: 10.3390/healthcare12171716.

DOI:10.3390/healthcare12171716
PMID:39273740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11394829/
Abstract

OBJECTIVES

To examine the distribution, clinical characteristics, and management of priapism in a Saudi Arabian tertiary care setting to provide a regional perspective.

SUBJECTS AND METHODS

This retrospective chart review included 29 male patients presenting with priapism at a tertiary care hospital in Riyadh, Saudi Arabia, from January 2011 to June 2023. Data were collected on patient demographics, clinical presentation, treatment modalities, and outcomes.

RESULTS

The study found recurrent episodes of priapism in many patients, with a significant number associated with hematological diseases, notably sickle cell disease. Most treatments involved non-surgical methods. A notable finding was the correlation between the duration of priapism episodes and the likelihood of hospital admissions, suggesting that prolonged episodes often required more extensive medical attention.

CONCLUSIONS

Priapism often presents as a chronic and recurrent condition requiring personalized management strategies. This study emphasizes the importance of recognizing regional occurrence patterns to enhance the management of priapism and suggests a need for further research in regions where this condition is less common.

摘要

目的

在沙特阿拉伯的三级医疗环境中研究阴茎异常勃起的分布、临床特征及管理,以提供区域视角。

对象与方法

这项回顾性病历审查纳入了2011年1月至2023年6月期间在沙特阿拉伯利雅得一家三级医院就诊的29例阴茎异常勃起男性患者。收集了患者的人口统计学数据、临床表现、治疗方式及结果。

结果

研究发现许多患者存在阴茎异常勃起复发情况,其中相当一部分与血液系统疾病有关,尤其是镰状细胞病。大多数治疗采用非手术方法。一个显著发现是阴茎异常勃起发作持续时间与住院可能性之间的相关性,这表明发作时间延长通常需要更广泛的医疗关注。

结论

阴茎异常勃起常表现为慢性复发性疾病,需要个性化管理策略。本研究强调认识区域发病模式对加强阴茎异常勃起管理的重要性,并表明在该疾病不太常见的地区需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/11394829/39a62836a381/healthcare-12-01716-g006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/11394829/3075a20b330d/healthcare-12-01716-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/11394829/39a62836a381/healthcare-12-01716-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/11394829/a4a633a81aaf/healthcare-12-01716-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/11394829/03ae83842fcc/healthcare-12-01716-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/11394829/4cdd8e06fd76/healthcare-12-01716-g003.jpg
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本文引用的文献

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Diagnosis and Management of Priapism.阴茎异常勃起的诊断与处理
JAMA. 2023 Aug 8;330(6):559-560. doi: 10.1001/jama.2023.13377.
2
The Burden of Sickle Cell Disease in Saudi Arabia: A Single-Institution Large Retrospective Study.沙特阿拉伯镰状细胞病的负担:一项单机构大型回顾性研究
Int J Gen Med. 2023 Jan 13;16:161-171. doi: 10.2147/IJGM.S393233. eCollection 2023.
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Epidemiology and treatment of priapism in sickle cell disease.镰状细胞病所致阴茎异常勃起的流行病学和治疗。
Hematology Am Soc Hematol Educ Program. 2022 Dec 9;2022(1):450-458. doi: 10.1182/hematology.2022000380.
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Surgical and minimally invasive treatment of ischaemic and non-ischaemic priapism: a systematic review by the EAU Sexual and Reproductive Health Guidelines panel.手术和微创治疗缺血性和非缺血性阴茎异常勃起:EAU 性健康和生殖健康指南小组的系统评价。
Int J Impot Res. 2024 Feb;36(1):36-49. doi: 10.1038/s41443-022-00604-1. Epub 2022 Sep 23.
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Recent advances in understanding and treating priapism.阴茎异常勃起的认识与治疗的最新进展
Fac Rev. 2022 Aug 26;11:23. doi: 10.12703/r/11-23. eCollection 2022.
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An update on the management algorithms of priapism during the last decade.过去十年中阴茎异常勃起治疗管理算法的更新。
Arch Ital Urol Androl. 2022 Jun 30;94(2):237-247. doi: 10.4081/aiua.2022.2.237.
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Management of Priapism: 2021 Update.阴茎异常勃起的管理:2021 更新。
Urol Clin North Am. 2021 Nov;48(4):565-576. doi: 10.1016/j.ucl.2021.07.003. Epub 2021 Aug 25.
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Prevalence of priapism in individuals with sickle cell disease and implications on male sexual function.镰状细胞病患者阴茎异常勃起的患病率及其对男性性功能的影响。
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Hemoglobin. 2018 Mar;42(2):73-77. doi: 10.1080/03630269.2018.1452760. Epub 2018 May 10.
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