Abstract：
Priapism is a disorder where the penis without sexual stimulation maintains a prolonged rigid erection lasting 4 or more hours. There are two classifications of priapism, ischemic (low flow) or nonischemic high flow, and each have specific etiologies, diagnostic criteria, and management. This presented case study involved a 58-year-old male who experienced an ischemic priapism more than 24 hours after an anterior lumbar interbody fusion (ALIF). A flaccid penis was achieved after the patient received two 400 µg of phenylephrine HCL into the corpora cavernosum. Review of the literature suggests anesthetic medications given during the surgical procedure may have caused the priapism. Lessons that can be learned from this case study highlight that even though the nurse may not expect to see a priapism after an ALIF, the nurse must always be diligent and not become complacent with unexpected findings or assessments that may cause irreparable harm to the patient.
摘要：
阴茎异常勃起是一种没有性刺激的阴茎维持持续4小时或更长时间的僵硬勃起的疾病。阴茎异常有两种分类，缺血性（低流量）或非缺血性高流量，每个都有特定的病因，诊断标准,和管理。该案例研究涉及一名58岁的男性，该男性在前路腰椎椎间融合术（ALIF）后超过24小时出现缺血性阴茎异常勃起。患者在海绵体中接受了两个400µg的去氧肾上腺素HCL后，阴茎松弛。文献回顾表明，在手术过程中给予麻醉药物可能导致阴茎异常勃起。从这个案例研究中可以学到的教训强调，即使护士可能不会期望在ALIF之后看到阴茎异常勃起，护士必须始终勤奋，不要对可能对患者造成不可挽回伤害的意外发现或评估感到自满。
