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目的 为提高对血管活性药物的阴茎海绵体注射引起的阴茎异常勃起的处理水平。方法 对 5 0例阴茎持续勃起病人按顺序进行了下肢运动 ,局部冰敷、海绵体注射血管活性药物、穿刺放血和冲洗治疗。结果 5 0例就诊前勃起时间分别为 3h～ 2 5例 ,4h～ 16例 ,8h～ 4例 ,2 4h～ 4例 ,72h～ 1例。下肢运动和局部冰敷的总治愈率为 76 % (38/ 45 )。 2 4h以内治愈为 84.44 % (38/ 45 )。超过 2 4h采用下肢运动和冰敷治疗无 1例有效。结论 持续勃起的时间概念应定为 3h ,下肢运动 ,局部冰敷 ,是就诊早者的有效处理方法 ,对就诊较晚者应即刻应用血管活性药物或穿刺放血。
The purpose is to improve the level of treatment of penile erection caused by injection of cavernosal vasoactive drugs. Methods Fifty cases of penile persistent erection were followed by lower extremity movement, local ice pack, intracavernous injection of vasoactive drugs, pricking bloodletting and irrigation. Results 50 cases of preoperative erectile time were 3h ~ 25 cases, 4h ~ 16 cases, 8h ~ 4 cases, 24 hours ~ 4 cases, 72h ~ 1 case. The total cure rate for lower extremity movements and local ice packs was 76% (38 of 45). Within 24 hours, 84.44% (38/45) were cured. More than 2 4h with lower extremity exercise and ice compress no one effective. Conclusions The concept of duration of continuous erection should be defined as 3h, lower extremity movement, local ice packs. It is an effective treatment for those who have been treated early, and vasoactive drugs or punctures should be applied immediately to the patients who are referred later.