两次介入栓塞治疗经直肠前列腺活检后严重血尿1例报告  

Acasereport of severe hematuria after transrectalpl rostatebiopsy treatedby repeat interventional embolization

作　　者：任靖文 田野[1] 罗光恒 Ren Jingwen;Tian Ye;Luo Guangheng(Department of Urology,Guizhou Provincial Peoples Hospital,Guizhou 55000,China)

机构地区：[1]贵州省人民医院泌尿外科,贵州550002 [2]贵州医科大学,贵州550001

出　　处：《中华泌尿外科杂志》2023年第5期390-391,共2页Chinese Journal of Urology

基　　金：贵州省科技计划项目(黔科合支撑[2019]2797号)。

摘　　要：前列腺穿刺后出血常见,但出血致失血性休克罕见。本文报道1例,穿刺后第3d突发严重血尿,考虑穿刺部位出血。予保守治疗无效,行介入栓塞治疗,栓塞双侧尿道球动脉,成功止血。栓塞术后第4d,患者突发低血容量性休克。血管造影见双侧前列腺动脉出血,立即栓塞出血部位及其上级分支动脉。栓塞术后4个月,无出血相关事件发生。Hemorrhage after prostate biopsy is common,but hemorrhagic shock is rare.We reported a case of sudden severe hematuria on the third day after prostate biopsy,which was considered to be bleeding at the puncture site.Conservative treatment was ineffective,and interventional embolization was performed.Bilateral bulbar urethral arteries were embolized,and the bleeding was stopped successfully.On the 4th day after embolization,the patient developed hypovolemic shock.Angiography showed bilateral prostatic artery bleeding,and the bleeding site and its superior branch arteries were embolized immediately.At 4 months after embolization,no bleeding related events occurred.

关 键 词：前列腺 活组织检查 血尿 介入栓塞 失血性休克 

分 类 号：R697.3[医药卫生—泌尿科学]