[在胃囊造形术后发生折射性膀出血的情况]
Sho Yamagiwa1, Hiroshi Yamada1, Hiroko Morikami1
1Department of Urology, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital.
概括
一名经过胃囊膜整形术后患有耐火性膀出血的患者接受了部分囊切除术,以获得成功的血液静止. 这一案例凸显了胃扩大用于膀重建的潜在并发症,特别是在功能衰竭患者中.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 胃囊造形术是一种历史性的膀增大技术,可以导致严重的并发症.
- 血失尿综合征是一种已知的,虽然罕见的,术后并发症.
- 患有功能衰竭的患者中扩大膀的长期管理存在独特的挑战.
研究的目的:
- 报告一例经过胃囊塑性手术后二次出血的阻燃性膀出血的病例.
- 描述这种并发症的成功手术治疗方法.
- 强调在特定患者群体中需要谨慎对待胃囊造形术的必要性.
主要方法:
- 一名34岁的男性患者有胃囊造形术和脏移植史,出现严重的膀出血.
- 试图进行保守的管理,包括持续的膀灌和血管栓塞.
- 该患者最终接受了部分囊切除术,以确定血静.
主要成果:
- 由于出血症-失尿症综合征而导致的耐火性膀出血发生在一个有胃囊塑性病史的患者身上.
- 最初的保守治疗和血管栓塞未能实现血液静止.
- 部分囊切除术成功控制了出血,实现了静血.
结论:
- 部分囊切除术可以是胃囊塑术后耐火性膀出血的有效治疗方法.
- 胃囊膜整形有风险,包括血失尿综合征,需要小心选择患者.
- 建议在患有无尿症或功能衰竭的患者考虑胃囊形成时谨慎行事.
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