Soong W J, Hwang B
Department of Pediatrics, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1994 May-Jun;35(3):188-96.
Sixteen neonates and infants with asphyxiated bladder syndrome (ABS) were prospectively studied over a two-year period. Their transient urinary bladder distention had developed as a sequel of asphyxial events, and presented as delayed micturition in the absence of obstructive lesion. The incidence was 1.9 percent in this Pediatric Intensive Care Unit. Five cases occurred in the neonatal period. All patients were younger than three years of age (mean: 9.1 months), and the incidence of ABS was 2.8 percent within this age group. For intermittent decompression of the bladder, all responded successfully to the suprapubic bladder expression method (Crede's maneuver). Most (81.3%, 13/16) ABS cases coexisted with intestinal dysfunction as either paralytic ileus (62.5%, 10/16) or as gas-less abdomen (18.8%, 3/16). There was no evidence of association with either systemic or urinary bacterial infection. Normal spontaneous voiding and bowel function were regained in all cases except one, who died early. Mean (SD) duration of bladder dysfunction was 66.9 (40.3) hours. Sonography showed normal kidneys and collecting system in all patients both during and after ABS episodes. Half of the patients (8/16) died ultimately. No urinary tract abnormality was found in post-mortem examinations in five cases.
在两年时间里，对16例患有窒息性膀胱综合征（ABS）的新生儿和婴儿进行了前瞻性研究。他们的短暂性膀胱扩张是窒息事件的后遗症，表现为在无梗阻性病变的情况下排尿延迟。在这个儿科重症监护病房，发病率为1.9%。5例发生在新生儿期。所有患者年龄均小于3岁（平均：9.1个月），该年龄组内ABS的发病率为2.8%。对于膀胱的间歇性减压，所有患者对耻骨上膀胱按压法（克德氏手法）均反应成功。大多数（81.3%，13/16）ABS病例合并肠道功能障碍，表现为麻痹性肠梗阻（62.5%，10/16）或无气腹（18.8%，3/16）。没有证据表明与全身或泌尿系统细菌感染有关。除1例早期死亡外，所有病例均恢复了正常的自主排尿和肠道功能。膀胱功能障碍的平均（标准差）持续时间为66.9（40.3）小时。超声检查显示，在ABS发作期间及之后，所有患者的肾脏和集合系统均正常。最终有一半患者（8/16）死亡。5例尸检未发现泌尿系统异常。
