吸入性抗胆碱能药物引起慢性阻塞性肺疾病患者急性尿潴留1例并文献复习  

Inhaled anticholinergics induced acute urinary retention in patients with chronic obstructive pulmonary disease：a case report and literature review

作　　者：罗泽如[1] 冯素玲[2] 

机构地区：[1]广东省人民医院(广东省医学科学院)广东省老年医学研究所呼吸科,510080广州 [2]中山大学孙逸仙纪念医院呼吸科,广州510120

出　　处：《国际呼吸杂志》2013年第15期1149-1151,共3页International Journal of Respiration

摘　　要：目的提高对吸入性抗胆碱能药物引起急性尿潴留的认识。方法分析我院收治的1例因吸入异丙托溴铵引起急性尿潴留患者的资料并结合文献对吸入性抗胆碱能药物引起急性尿潴留的发病率等进行复习。结果一例老年男性慢性阻塞性肺疾病患者，先后两次因急性加重吸入抗胆碱能药物后均出现急性尿潴留。结论吸入性抗胆碱能药物增加急性尿潴留的风险，尤其是伴有前列腺增生者，但总体发生率较低。Objective To enhance the consciousness to inhaled anticholinergics induced acute urinary retention. Methods information of one case with inhaled anticholinergic induced acute urinary retention was reported. The literatures about inhaled anticholinergic induced acute urinary retention were reviewed. Results Inhaled anticholinergic drugs was prescribed for a senile male patient with acute exacerbation of chronic obstructive pulmonary disease and resulted in acute urinary retention twice. Conclusions Inhaled anticholinergics increase the risk of acute urinary retention, particularly associated with benign prostatic hyperplasia, but lower overall incidence.

关 键 词：吸入性抗胆碱能药物 噻托溴铵 异丙托溴铵 急性尿潴留 文献复习 

分 类 号：R563.9[医药卫生—呼吸系统]