气肿性膀胱炎一例报告  

Emphysematous cystitis:a case report

作　　者：李鸿杰 余立冲 郐海洋 李通义 马志方[1] Li Hongjie;Yu Lichong;Kuai Haiyang;Li Tongyi;Ma Zhifang(Department of Urology,The First Hospital of Shanxi Medical University,Taiyuan 030000,China)

机构地区：[1]山西医科大学第一医院泌尿外科,太原030001

出　　处：《中华泌尿外科杂志》2021年第5期388-389,共2页Chinese Journal of Urology

摘　　要：气肿性膀胱炎是一种罕见的膀胱炎症,严重者可危及生命。我院收治1例气肿性膀胱炎患者,同时合并前列腺增生、糖尿病、双侧肾输尿管积水、双侧输尿管末端积气。给予积极监测并控制血糖、留置导尿、抗感染等治疗后,复查CT提示膀胱腔内及壁内气体减少,各项检查指标均较前好转,各项指标正常后拔除尿管,随诊1个月未复发。Emphysematous cystitis is a rare inflammation of the bladder,which can be life-threatening in severe cases.A senior gentleman with emphysematous cystitis was recently admitted to our hospital.He got bilateral renal hydronephrosis and bilateral terminal pneumatosis of the ureter.The comorbidity was prostatic hyperplasia and diabetes.After indwelling catheter,glucose levels control and anti-infection treatment for 3 days,the repeated CT showed the gas inside the bladder the end of ureter decreased significantly.The blood routine,urine routine,renal function was better than before.The patient was instructed to continue anti-infection treatment.The above laboratory examination indicators returned to normal after a week's re-examination.

关 键 词：膀胱炎 气肿性 机制 临床特点 治疗 

分 类 号：R694.3[医药卫生—泌尿科学]