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作 者:雷霞 LEI Xia(No.1 Internal Medicine Department,Tianjin Public Security Hospital,Tianjin 300041,China)
出 处:《中国城乡企业卫生》2018年第8期30-32,共3页Chinese Journal of Urban and Rural Enterprise Hygiene
摘 要:排尿是由中枢神经系统控制的复杂的反射活动,在此反射过程中任一环节的障碍都会导致排尿障碍,引起尿潴留,从而继发其他疾病。尤其在心内科行股动脉介入治疗的患者,为了防止术后出现穿刺点出血的状况,临床上一般要求患者卧床休息,并且术侧肢体制动,从而导致排尿体位改变,同时患者年龄、心理因素、医源性因素等多种原因也可引起术后出现尿潴留。此外,介入治疗术后,为了促使体内造影剂尽快排出体外,临床常要求患者大量饮水,使术后排尿问题更为突出。临床上应根据其发生的不同原因采取相应的干预措施,以达到缓解或消除术后尿潴留,促进患者恢复健康。Urination is a complex reflection activities controlled by the central nervous system.Obstacles at any link in the process of the reflection will lead to urination disorder,cause urinary retention and secondary other diseases.Especially patients in cardiology with femoral artery intervention,in order to prevent the puncture point bleeding,postoperative patients with clinically general requirements on bed rest,and operation lateral limbs braking,which leading to urinate position change.At the same time,patient age,psychological factors and iatrogenic factors and other factors also can cause postoperative urinary retention.In addition,after interventional therapy,in order to promote the body contrast agent as soon as possible out of the body,the clinic often requires the patient to drink a lot of water,so that the postoperative urination problem is more prominent.In clinical practice,appropriate intervention measures should be taken according to the different reasons,so as to alleviate or eliminate postoperative urinary retention and promote the recovery of patients.
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