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Priapism in an Infant With Sickle Cell Trait After Cardiac Transplant

机译:心脏移植后镰状细胞特质的婴儿中的快感

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We report a case of priapism in a 6-month'olcl boy of African descent who had been receiving intravenous sildenafil, a phosphodiesterase-5 inhibitor. An orthotopic cardiac transplantation had been performed at 6 months of age, 2 months after he had received a Berlin heart. The pre-, peri-, and postoperative care required multiple transfusions, and postoperative pulmonary hypertension required treatment with intravenous sildenafil. He developed a series of prolonged, semitumescent erections (30-180 minutes) that resolved spontaneously without the need for urologic intervention. Subsequent investigations revealed he was a carrier of a sickle cell gene. Although the precise etiology of the prolonged penile erection is unclear, it was likely secondary to the use of sildenafil and the sickle cell trait.
机译:我们报告了一个非洲裔的6个月大男孩的priapism病例,该男孩一直在接受静脉注射西地那非(一种磷酸二酯酶5抑制剂)。在他接受柏林心脏手术2个月后,他于6个月大时进行了原位心脏移植。术前,围术期和术后护理需要多次输血,术后肺动脉高压需要静脉注射西地那非治疗。他发展了一系列长时间的半肿胀勃起(30-180分钟),这些勃起可自发解决,无需泌尿科干预。随后的调查显示他是镰状细胞基因的携带者。尽管尚不清楚延长阴茎勃起的确切病因,但它可能是次生西地那非和镰状细胞性状的继发原因。

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