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目的:探讨金属空心尿管在膀胱填塞治疗中的应用价值与方法。方法:对38例膀胱填塞患者采用F22~F24金属空心尿管,20 ml注射器膀胱冲洗加吸引膀胱填塞凝血块。结果:38例患者中3例创面活动出血经尿道电凝止血成功,2例肾损伤患者凝血块清除后反复再次出血,经高选择肾动脉栓塞后患者出血停止,余患者均床旁清除凝血块成功,无一例中转开放手术,无膀胱造瘘病例。结论:金属空心尿管行膀胱凝血块清除,临床证实效果满意,只有极少数活动性出血患者需膀胱镜下止血,大大减低了医疗风险,值得临床推广应用。
Objective: To explore the value and method of metal hollow catheter in the treatment of bladder packing. Methods: Thirty-eight patients with bladder-stuffing were treated with F22-F24 metal hollow catheter, 20 ml syringes bladder irrigation plus suction bladder clot. Results: Of the 38 patients, 3 cases of hemorrhage caused by transurethral electrovaporization of the wound surface were successful, 2 cases of renal injury were repeatedly hemorrhaged after clot removal and were stopped after hemorrhage by high-selection renal artery embolization. Success, no case of transfer to open surgery, no cases of bladder fistula. CONCLUSION: The metal hollow catheter is cleared of bladder clots, and the clinical results are satisfactory. Only a very small number of patients with active bleeding need cystoscopic hemostasis, which greatly reduces the medical risk and deserves clinical application.