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1、藻酸双酯钠致阴茎异常勃起2例报告并文献复习医学临床研究2009年8月第26卷第8期JClinRes,Aug.2009,Vol26,No8藻酸双酯钠致阴茎异常勃起2例报告并文献复习詹胜利蔡明石炳毅李州利李鹏程梁涛(解放军总医院第二附属医院泌尿外科,北京100091)[摘要]【目的14g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
2、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.[关键词]阴茎异常勃起/病因学;多糖类/副作用PriapismInducedbyPropyleneGlycolAlginateSodiumSulfate(Reportof2CasesandReviewofLiterature)ZHANSheng—li,CAIMing,SHIBing～yi,etal(DepartmentofUrology
3、,SecondAffiliatedHospital,GeneralHospitalofPLA,Beijing100091,China)[Abstract][ObjectivelToexplorethetreatmentofpriapismcausedbypropyleneglycolalginatesodiumsulfateanditstherapeuticeffect.[MethodslThediagnosisandtreatmentof2patientswithpriapismcausedbypropylenegly—colalginatesod
4、iumsulfateintravenousdripinfusionwerereviewed.[Results]Onepatientwithpriapismreceivedtheirrigationofcavernousbodyofpenisfor3daysandthesymptomhadbeenimprovedcompletely.Aftertheotherpa—tientwithpriapismreceivedtheirrigationofcavernousbodyofpenisfor3ffmesandbalanus=cavernous-bodys
5、hun—ting,thesymptomhadn'tbeenimproved.Thepatientalsounderwentbalanuscavernous—bodyshuntingandcavernousbodytunne1.At2daysaftertheoperation,priapismdisappearedcompletely.[Conclusion]Patiemsshouldreceiveex—pectanttreatmentin6to8hoursafterpriapismcausedbypropyleneglycolalginatesodi
6、umsulfate.Balanus-cavern—ous-bodyshuntingandCavernousbodytunnelshouldbeperformedforpreventingthenecrosisandfibrosisofcavern—OUSbodyandprotectingtheerectionfunctionifthepriapismexceeds24hours.[Keywords]priapism/ET;polysaccharides/AE[中图分类号]R697.14[文献标识码]A[文章编号]1671—7171(2009)08—1
7、460—03论着肾缺氧,缺血,机体黄嘌呤,次黄嘌呤合成下降,以及黄嘌呤氧化酶活性降低,导致UA生成减少有关.[1][2][3][参考文献]culletonBF.LarsonMG,KanneIBW,ela1.Serumuricacidandriskforcardiovasculardiseaseanddeath:TheFraminghamHeartStudy[J].AnnInternMed,1999,131(1):7-13.BickelC,RupprechtHJ,BlankenbergS,ela1.Serumuricacidasanindependen
8、tpredictorofmortalityinpatientswithanglographicallypro
