藻酸双酯钠致阴茎异常勃起2例报告并文献复习 |
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引用本文: | 詹胜利,蔡明,石炳毅,李州利,李鹏程,梁涛.藻酸双酯钠致阴茎异常勃起2例报告并文献复习[J].医学临床研究,2009,26(8):1460-1462. |
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作者姓名: | 詹胜利 蔡明 石炳毅 李州利 李鹏程 梁涛 |
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作者单位: | 解放军总医院第二附属医院泌尿外科,北京,100091 |
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摘 要: | 【目的】探讨藻酸双酯钠(PSS)致阴茎异常勃起的治疗方法与效果。【方法】报告2例PSS致异常勃起的患者诊治过程并复习文献。【结果】1例经行阴茎海绵体冲洗3日后,症状完全改善;另1例在外院经3次阴茎海绵体冲洗及行阴茎头体分流术后症状无改善,给予再次行阴茎海绵体头体分流术+阴茎海绵体隧道术,术后次日阴茎勃起完全消失。【结论】对PSS致阴茎异常勃起时间在6~8h内给予保守治疗,若PSS致阴茎异常勃起超过24h,应行阴茎头体分流术+阴茎海绵体隧道术,以防止海绵体坏死纤维化,最大限度地保护患者的勃起功能。
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关 键 词: | 阴茎异常勃起/病因学 多糖类/副作用 |
Priapism Induced by Propylene Glycol Alginate Sodium Sulfate(Report of 2 Cases and Review of Literature) |
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Institution: | ZHAN Sheng-li , CAI Ming , SHI Bing-yi ,et al ( Department of Urology, Second Affiliated Hospital, General Hospital of PLA ,Beijing 100091, China ) |
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Abstract: | Objective]To explore the treatment of priapism caused by propylene glycol alginate sodium sulfate and its therapeutic effect. Methods]The diagnosis and treatment of 2 patients with priapism caused by propylene glycol alginate sodium sulfate intravenous drip infusion were reviewed. Results]One patient with priapism received the irrigation of cavernous body of penis for 3 days and the symptom had been improved completely. After the other patient with priapism received the irrigation of cavernous body of penis for 3 fimes and balanus-cavernous-body shunting, the symptom hadn't been improved. The patient also underwent balanus cavernous-body shunting and cavernous body tunnel. At 2 days after the operation, priapism disappeared completely. Conclusion]Patients should receive expectant treatment in 6 to 8 hours after priapism caused by propylene glycol alginate sodium sulfate. Balanus-cavernous-body shunting and Cavernous body tunnel should be performed for preventing the necrosis and fibrosis of cavernous body and protecting the erection function if the priapism exceeds 24 hours. |
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Keywords: | priapism/ET polysaccharides/AE |
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