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新生儿常规割礼的严重并发症:肾盂输尿管积水、阴茎头截断和低钠血症。

Serious complications of routine ritual circumcision in a neonate: hydro-ureteronephrosis, amputation of glans penis, and hyponatraemia.

作者信息

Hanukoglu A, Danielli L, Katzir Z, Gorenstein A, Fried D

机构信息

Department of Paediatrics, E. Wolfson Medical Centre, Holon, Israel.

出版信息

Eur J Pediatr. 1995 Apr;154(4):314-5.

PMID:7607284
Abstract

A 13-day-old infant developed bilateral hydroureteronephrosis, severe hyponatraemia, hyperkalaemia, and acidosis, as a result of urethral damage following circumcision. The hydroureteronephrosis and biochemical abnormalities normalized after resolution of the penile injury. Conclusion. Infants with urinary retention following circumcision may develop hydro-ureteronephrosis and electrolyte disturbances. An awareness of the potential dangers of circumcision may help to limit its complications.

摘要

一名13天大的婴儿因包皮环切术后尿道损伤,出现双侧肾盂积水、严重低钠血症、高钾血症和酸中毒。阴茎损伤治愈后,肾盂积水和生化异常恢复正常。结论。包皮环切术后出现尿潴留的婴儿可能会发生肾盂积水和电解质紊乱。认识到包皮环切术的潜在危险可能有助于减少其并发症。

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1
Serious complications of routine ritual circumcision in a neonate: hydro-ureteronephrosis, amputation of glans penis, and hyponatraemia.新生儿常规割礼的严重并发症:肾盂输尿管积水、阴茎头截断和低钠血症。
Eur J Pediatr. 1995 Apr;154(4):314-5.
2
Letter: Complication of ritual circumcision in Israel.来信:以色列割礼仪式的并发症
Pediatrics. 1974 Oct;54(4):521.
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Amputation of distal penile glans during neonatal ritual circumcision--a rare complication.新生儿仪式性包皮环切术中阴茎头远端截肢——一种罕见的并发症。
Br J Urol. 1996 Jun;77(6):924-5. doi: 10.1046/j.1464-410x.1996.06934.x.
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Complete penile amputation during ritual neonatal circumcision and successful replantation using postoperative leech therapy.在仪式性新生儿割礼过程中发生完全性阴茎离断,并成功使用术后水蛭疗法再植。
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Acute obstructive uropathy--a rare complication of circumcision.急性梗阻性尿路病——包皮环切术的一种罕见并发症。
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Circumcision: successful glanular reconstruction and survival following traumatic amputation.包皮环切术:创伤性截肢后成功的龟头重建与存活
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Ritual circumcision. Comments on current practices in American hospitals.仪式性割礼。关于美国医院当前做法的评论
Clin Pediatr (Phila). 1962 Oct;1:65-72. doi: 10.1177/000992286200100114.
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[Circumcision in phimosis and inflammatory preputial changes (clinical and histological examinations)].包茎及炎性包皮改变中的包皮环切术(临床及组织学检查)
Zentralbl Chir. 1969 Sep 13;94(37):1220-6.
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Are mechanical and chemical trauma the reason of meatal stenosis after newborn circumcision?机械性和化学性创伤是否是新生儿行包皮环切术后发生尿道狭窄的原因?
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本文引用的文献

1
Complications of circumcision.包皮环切术的并发症。
Urol Clin North Am. 1983 Aug;10(3):543-9.
2
Transient pseudohypoaldosteronism secondary to obstructive uropathy in infancy.婴儿期梗阻性尿路病继发的短暂性假性醛固酮减少症。
J Pediatr. 1983 Sep;103(3):375-80. doi: 10.1016/s0022-3476(83)80406-5.
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Acute tubular dysfunction in infants with obstructive uropathy.
Acta Paediatr Scand. 1985 Jul;74(4):589-94. doi: 10.1111/j.1651-2227.1985.tb11035.x.
4
Risks from circumcision during the first month of life compared with those for uncircumcised boys.出生后第一个月进行包皮环切术的风险与未进行包皮环切术的男孩的风险比较。
Pediatrics. 1989 Jun;83(6):1011-5.
5
Increased sodium requirement following early postnatal surgical correction of congenital uropathies in infants.
Pediatr Nephrol. 1990 Nov;4(6):581-4. doi: 10.1007/BF00858625.