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关于导管相关性难治性上尿路出血诊治的思考：一例报告

Thoughts on diagnosis and treatment of catheter - Related refractory upper urinary tract Bleeding:A case report.

作者信息

Deng Chaohua, Zhou Yuan, He Guofu, Li Jiongming, Wang Guang, Zhang Yu

机构信息

Department of Urology, The Fourth Affiliated Hospital of Dali University, Chuxiong, Yunnan, 675000, China.

Department of CT, The Fourth Affiliated Hospital of Dali University, Chuxiong, Yunnan, 675000, China.

出版信息

Urol Case Rep. 2025 Mar 25;60:103007. doi: 10.1016/j.eucr.2025.103007. eCollection 2025 May.

DOI:10.1016/j.eucr.2025.103007
PMID:40230613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11995744/
Abstract

We present an extremely rare case of refractory upper urinary tract bleeding related to a single "J" tube, unreported globally. A patient with high - grade invasive urothelial carcinoma had LRC + bilateral uretero - cutaneous ostomy, then bleeding unresponsive to transfusion and RAE. Recovery came after tube removal, with no hematuria in 2 - month follow - up.

摘要

我们报告了一例极为罕见的与单根“J”管相关的难治性上尿路出血病例，全球尚无相关报道。一名高级别浸润性尿路上皮癌患者接受了左肾输尿管全长切除术+双侧输尿管皮肤造口术，随后出现对输血和肾动脉栓塞治疗均无反应的出血。拔除导管后患者康复，随访2个月无血尿。

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Better timing for HoLEP: a retrospective analysis of patients treated with HoLEP over a 10-year period with a 1-year follow-up.HoLEP 治疗时机的选择：10 年回顾性分析及 1 年随访
Asian J Androl. 2023 Mar-Apr;25(2):281-285. doi: 10.4103/aja202224.
3
BPH: Why Do Patients Fail Medical Therapy?良性前列腺增生症（BPH）：患者为何会对药物治疗无效？
Curr Urol Rep. 2019 Jun 6;20(7):40. doi: 10.1007/s11934-019-0899-z.
4
Aetiology, imaging features, and evolution of spontaneous perirenal haemorrhage.自发性肾周出血的病因、影像学特征及演变
Clin Radiol. 2017 Feb;72(2):175.e19-175.e26. doi: 10.1016/j.crad.2016.08.010. Epub 2016 Oct 6.
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Wünderlich's syndrome: causes, diagnosis and radiological management.温德利希综合征：病因、诊断及放射学处理
Clin Radiol. 2002 Sep;57(9):840-5.
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Etiology of spontaneous perirenal hemorrhage: a meta-analysis.自发性肾周出血的病因：一项荟萃分析。
J Urol. 2002 Apr;167(4):1593-6. doi: 10.1097/00005392-200204000-00006.