中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
32期
43-45
,共3页
氯胺酮%膀胱炎%综合治疗%膀胱水扩张%透明质酸钠
氯胺酮%膀胱炎%綜閤治療%膀胱水擴張%透明質痠鈉
록알동%방광염%종합치료%방광수확장%투명질산납
Ketamine%Cyctitis%Comprehensive treatment%Bladder water expansion%Hyaluronic acid sodium
目的：分析3例氯胺酮相关性膀胱炎的临床表现、诊断、治疗，以提高对该病的确诊率及疗效。方法对2012年8月~2013年10月本科收治的3例氯胺酮相关性膀胱炎患者进行分析并对相关文献进行复习。结果尿频、尿急、尿痛伴或不伴下腹部、盆腔疼痛或血尿为氯胺酮相关性膀胱炎的主要症状，膀胱容量变小、膀胱壁增厚或可伴有上尿路积水为主要改变，戒食氯胺酮及碱化利多卡因结合膀胱水扩张等综合治疗为主要方法。结论对不明原因明显下尿路症状而治疗效果不佳的年轻患者，应考虑氯胺酮相关性膀胱炎的可能，系统追问病史有助于诊断，多手段综合治疗对缓解症状有明显疗效。
目的：分析3例氯胺酮相關性膀胱炎的臨床錶現、診斷、治療，以提高對該病的確診率及療效。方法對2012年8月~2013年10月本科收治的3例氯胺酮相關性膀胱炎患者進行分析併對相關文獻進行複習。結果尿頻、尿急、尿痛伴或不伴下腹部、盆腔疼痛或血尿為氯胺酮相關性膀胱炎的主要癥狀，膀胱容量變小、膀胱壁增厚或可伴有上尿路積水為主要改變，戒食氯胺酮及堿化利多卡因結閤膀胱水擴張等綜閤治療為主要方法。結論對不明原因明顯下尿路癥狀而治療效果不佳的年輕患者，應攷慮氯胺酮相關性膀胱炎的可能，繫統追問病史有助于診斷，多手段綜閤治療對緩解癥狀有明顯療效。
목적：분석3례록알동상관성방광염적림상표현、진단、치료，이제고대해병적학진솔급료효。방법대2012년8월~2013년10월본과수치적3례록알동상관성방광염환자진행분석병대상관문헌진행복습。결과뇨빈、뇨급、뇨통반혹불반하복부、분강동통혹혈뇨위록알동상관성방광염적주요증상，방광용량변소、방광벽증후혹가반유상뇨로적수위주요개변，계식록알동급감화리다잡인결합방광수확장등종합치료위주요방법。결론대불명원인명현하뇨로증상이치료효과불가적년경환자，응고필록알동상관성방광염적가능，계통추문병사유조우진단，다수단종합치료대완해증상유명현료효。
Objective To analyse clinical manifestation,diagnosis,treatment on 3 cases of ketamine associated cystitis in order to improve the diagnosis rate and curative effect of the disease. Methods The data of 3 patients with ketamine associated cystitis treated in our department from August 2012 to October 2013 were analysed and associated litera-tures were reviewed. Results The main symptoms of ketamine associated cystitis were urinary frequency,urgency,urinary pain with or not with lower abdomen.The main pathological changes of ketamine associated cystitis included the smaller bladder capacity,bladder wall thickening or may be associated with upper tract water.The comprehensive treatments in-cluding quit eating ketamine and alkalinization lidocaine combined with bladder water expansion were main methods. Conclusion Young patients with under the unknown causes,obvious urinary tract symptoms and poor treatment effect should consider the possibility of ketamine correlation cystitis.System ask of history is helpful to the diagnosis.Multiple means and integrated treatments have obvious curative effect on the remission of symptoms.
