膀胱血凝块填塞引流管的临床处理(附11例报告)  

Clinical procedures of the bladder blood clot plugging drainage tube(Report of 11 cases)

作　　者：潘峰[1] 管永俊[1] 杨雄[1] 孙超群[1] 庞自力[1] 肖传国[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院泌尿外科,武汉430022

出　　处：《临床泌尿外科杂志》2008年第5期343-344,共2页Journal of Clinical Urology

摘　　要：目的：应用简单有效的方法解决膀胱血凝块填塞引流管的问题。方法：11例患者采用尿激酶20000u加生理盐水20ml，经引流管或尿管向膀胱内灌注，保留15～20min，生理盐水反复冲洗清除血凝块；对于出血较重者．应用垂体后叶素12u加生理盐水50ml再次膀胱灌注，保留10～15min，将碎血块冲洗干净。结果：所有患者膀胱内血凝块均可顺利冲出，引流管通畅。结论：联合应用尿激酶和垂体后叶素进行膀胱保留灌注冲洗处理较大的血凝块填塞引流管是一种简单有效的方法。Objective：Evacuation of blood clot from the bladder by a simple and effective method. Methods：11 cases were perfused 20 ml normal saline containing 20 000 μ urokinase in the bladder through drainage tube and remained it for 15-20 min, then evacuated the clot by normal saline irrigation repeatedly. With these who bleeding seriouly,perfused bladder with 50 ml normal saline containing 12 u Pituitrin and remained for 10-15 min, evacuated the clot until the perfusate without any blood clot. Results：Blood clots of 11 cases could be evacuated successfully and the drainage tube recanalized. Conclusions：Combinated application of Urokinase and Pituitrin is a simple and effective method for treatment the bigger blood clot plugging drainage tube through bladder irrigation.

关 键 词：膀胱 血凝块 引流管 

分 类 号：R694[医药卫生—泌尿科学]