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.
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.
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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