气肿性膀胱炎并高血糖高渗状态1例报告并文献复习  

Emphysematous Cystitis with Hyperglycemic Hyperosmolar State:Case Report and Literature Review

作　　者：易小春[1] 吴天鹏[1] 许明伟[1] 段启新[1] 

机构地区：[1]武汉大学人民医院泌尿Ⅱ科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2012年第5期735-737,共3页Medical Journal of Wuhan University

摘　　要：目的:认识气肿性膀胱炎并高血糖高渗状态的发病机制及临床特点。方法:回顾性分析1例气肿性膀胱炎并高血糖高渗状态的诊疗体会并结合文献复习。结果:经补液、尿液引流、膀胱冲洗、抗生素的应用及控制糖尿病等治疗3周后患者好转出院。结论:气肿性膀胱炎是罕见的泌尿系感染,有诱发糖尿病患者高血糖高渗状态的可能。治疗时应积极处理诱因,行尿液引流、膀胱冲洗、加强抗感染等治疗措施。Objective： To analyze the pathogenesis and the clinical features of emphysematous cystitis with hyperglycemic hyperosmolar state（HHS）.Methods： A case of emphysematous cystitis with HHS was reported.Related literatures were also reviewed.Results： The patient received rehydration,antibiotic therapy,and bladder irrigation,and blood glucose level was controlled.After 3 weeks＇ treatment,the patient improved and symptoms disappeared.Conclusion： Emphysematous cystitis is a rare urinary system infection,which has the potency of inducing HHS.Treatment to the predisposition is very important,and the therapy of antibiotics and bladder washing is necessary.

关 键 词：气肿性膀胱炎 高血糖高渗状态 病例报告 文献复习 

分 类 号：R737.21[医药卫生—肿瘤]