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[肾移植后生殖器疱疹引起的短暂性神经源性膀胱排空障碍]

[Transient neurogenic bladder-emptying disorder caused by herpes genitalis following kidney transplantation].

作者信息

Schmeller N T, Kersting H, Castro A L, König N, Land W

出版信息

Urologe A. 1984 Mar;23(2):124-6.

PMID:6372196
Abstract

We report on a case of transient neurogenic dysfunction of the urinary bladder caused by herpes genitalis in a renal transplant patient. The patient noticed a slow urinary stream 3 days after the vesicular stage of the herpes genitalis. After 9 days complete urinary retention and loss of sensation developed, necessitating the insertion of suprapubic tube. Symptoms and residual urine spontaneously disappeared after 20 days. After removal of the suprapubic tube the patient could empty his bladder completely with good stream. 45 cases of this kind have been described in the literature. the cause is a sacral meningo-radiculitis with herpes simplex virus leading to a transient neuromotoric paralysis of the bladder.

摘要

我们报告了一例肾移植患者因生殖器疱疹导致膀胱短暂性神经源性功能障碍的病例。患者在生殖器疱疹水疱期后3天注意到尿流缓慢。9天后出现完全性尿潴留和感觉丧失,需要插入耻骨上导管。20天后症状和残余尿自发消失。拔除耻骨上导管后,患者能够以良好的尿流完全排空膀胱。文献中已描述了45例此类病例。病因是单纯疱疹病毒引起的骶部脑脊神经根炎,导致膀胱短暂性神经运动性麻痹。

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