B超引导下Seldinger法膀胱穿刺造瘘术治疗23例高危急性尿潴留观察与护理干预  

作　　者：席翔[1] 熊黎强[1] 叶樱[1] 李强[1] 

机构地区：[1]重庆医科大学附属成都第二临床学院,610031

出　　处：《当代医学》2012年第16期97-98,共2页Contemporary Medicine

摘　　要：目的探讨护理干预对B超引导下Seldinger法膀胱穿刺造瘘术治疗高危急性尿潴留患者的影响。方法对23例导尿失败合并心脑血管疾病并接受各种抗凝、抗血小板治疗且采用Clinic经皮肾穿刺造瘘套装在B超引导下,以Seldinger法行膀胱穿刺造瘘术的高危急性尿潴留患者进行护理干预。结果 23例患者均一次性手术成功,手术时间约5～10分钟,出血量均少于5ml,无腹腔脏器损伤和尿外渗,造瘘管均引流通畅。除3例患者术后当天尿液为淡红色外,无膀胱大出血及膀胱周围血肿形成。所有患者均无明显膀胱刺激症状。结论对正在接受抗凝治疗合并心脑血管疾病的高危急性尿潴留患者,当导尿失败后采用B超引导下Seldinger法膀胱穿刺造瘘术可显著提高穿刺的成功率和安全性,降低术后膀胱大出血的风险。对患者进行全方位的护理干预是保证手术成功的重要条件。Objective To investigate the influence of nersing intervention on ultrasound-guided seldinger,s paracenteti suparapublic cystostomy in desperate patients with acute urinary retention.Methods We treated 23 patients suffering with acute urinary retention and failing with catheterization by ultrasound-guided seldinger,s paracenteti suparapublic cystostomy,who were receiving anti-solidify and anti-platelet treatment because of heart or brain disease.Results All operations were completed at the first time successfully,the average time for whole surgery was 5-10 minutes and the blood lose was less than 5ml.And there were no complications including abdominal cavity injur,urecchysis,drainage tubes obstructed,bladder hematorrhea,hematoma around bladder,and significant irritation sign of bladder,except transient macrohematuria in 3 patients.Conclusion It seems that ultrasound-guided s ere receiving anti-solidify and anti-platelet treatment because of heart or brain disease and suffering with acute urinary retention and failing with catheterization.All-dimensional nersing intervention was the important condition of successful operation.

关 键 词：护理干预 术中B超 膀胱穿刺造瘘术 尿潴留 

分 类 号：R699[医药卫生—泌尿科学]