Diagnosis and treatment of veno-occlusive priapism (a report of 17 cases) / 中华男科学杂志

<p><b>OBJECTIVE</b>To explore the diagnosis and treatment of veno-occlusive priapism.</p><p><b>METHODS</b>The diagnosis and treatment of 17 cases of veno-occlusive priapism were analyzed retrospectively.</p><p><b>RESULTS</b>All the 17 patients were evaluated by physical examination, cavernous blood gas analysis and color Doppler ultrasonography, and treated by conservative therapy, intracavernosal aspiration and injection, surgical operation. After treatment, 11 cases achieved complete detumescence, 5 cases partial detumescence and 1 case of penile cancer failed to respond. During the 2-6 months follow-up, erectile dysfunction occurred in 3 cases.</p><p><b>CONCLUSION</b>Cavernous blood gas analysis and color Doppler ultrasonography are helpful to the diagnosis of veno-occlusive priapism. Early and correct intracavernosal injection and corpora cavernosa-corpus spongiosum shunt are effective ways to treat veno-occlusive priapism.</p>

Risk Factors of Central Venous Catheter Related Sepsis in Total Parenteral Nutrition: Analysis of Logistic Regression / 中华医院感染学杂志

OBJECTIVE To analyze risk factors in order to provide scientific gist in diagnosis and treatment of central venous catheter related sepsis(CRS) in patients with total parenteral nutrition(TPN). METHODS To make comparison of the 57 cases of CRS with 423 cases of non-CRS during 1998-2002.First,monovariable chi-square test and then non-condition Logistic regression analysis of the markedly different factors in SPSS10.0 were conducted. RESULTS The major risk factors might be infectious disease,duration of central venous catheter in,location of catheter, type of catheter and material of catheter,and serum protein