Ivey H H
J Urol. 1978 Oct;120(4):498-9. doi: 10.1016/s0022-5347(17)57243-2.
Although delayed micturition in the immediate newborn period is ofter a normal physiologic variation it may be associated with pathological states leading to a decrease in urine formation or reduction of urine flow. Recently, 5 newborns subjected to severe perinatal stress were seen, who exhibited delayed micturition despite adequate urine formation and no evidence of gross anatomic abnormalities. These patients presented with distended bladders that could be maneuvered easily by Credé's method. We believe that these cases represent a heretofore undescribed asphyxiated bladder syndrome and suggest consideration of such a diagnosis when bladder distension occurs subsequent to an asphyxial event. In male newborns it is important to differentiate this syndrome from posterior urethral valves and if urine is not expressed easily one should consider early intervention with diagnostic studies and, perhaps, suprapubic drainage.
尽管新生儿期排尿延迟常常是一种正常的生理变异，但它也可能与导致尿生成减少或尿流减少的病理状态相关。最近，我们见到了5例遭受严重围产期应激的新生儿，他们尽管尿生成正常且无明显解剖学异常的证据，但仍表现出排尿延迟。这些患儿的膀胱膨胀，通过克勒德氏手法（按压膀胱法）很容易处理。我们认为这些病例代表了一种迄今未被描述的窒息性膀胱综合征，并建议在窒息事件后出现膀胱膨胀时考虑这一诊断。对于男婴，将这种综合征与后尿道瓣膜相鉴别很重要，如果不容易导出尿液，应考虑尽早进行诊断性检查并可能进行耻骨上引流。
