病例报告:阳性腹腔内血瘤压缩尿道,导致尿源性败血症
Zhengyi Zhang1, Peng Ding2, Meijie Yang1
1School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in medicine
|July 30, 2025
概括
呈现了一种罕见的尿源性败血症病例,该病例是由内血管外科手术后尿路压缩的逆皮质血瘤引起的. 及时诊断和尿路支架植入导致患者的康复,突出显示了管理阳性并发症的重要性.
科学领域:
- 医疗病例报告 病例报告
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
背景情况:
- 尿源性败血症是一种严重的全身炎症反应,源于生殖尿路感染.
- 它具有复杂的病因,非典型的症状,快速进展和治疗挑战.
- 血管内干预,在治疗诸如下动脉血栓症等疾病时,也会带来动脉破裂和血瘤形成等风险.
研究的目的:
- 报告一个极为罕见的尿源性败血症病例,其次是尿管阻塞.
- 强调在内血管手术后识别阳性并发症的重要性.
- 突出及时诊断和干预在管理这种罕见疾病的有效性.
主要方法:
- 评估了一名63岁的病毒性肺炎和心力衰竭的男性患者.
- 对病史的回顾性分析揭示了从先前的内血管手术中未被诊断的腹腔内血瘤.
- 诊断成像检查发现了血瘤对尿道的压缩,导致尿道败血症.
主要成果:
- 该患者出现了严重的肺炎和心力衰竭的症状,并由未诊断的逆皮质血瘤复杂化.
- 血瘤导致尿路阻塞,导致尿源性败血症.
- 紧急穿尿管尿道支架植入解决了阻塞和败血症,导致患者显著改善.
结论:
- 造成尿管压缩和尿源性败血症的阳性逆皮质血瘤是非常罕见的.
- 早期识别和治疗阳性并发症至关重要,特别是在有血管干预病史的患者中.
- 多学科合作和有针对性的干预措施对于管理复杂的机械阻塞和败血症病例至关重要.
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