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中级医刊57年10月号刊载的“膀胱结石手术后不放置导尿管的初步报告”一文,内容和我院的经验有相同之处。我院自56年至今的恥骨上膀胱结石手术,术后也是大多数不留置导尿管的。这种做法有一定的优点,已如该文所述。但是在手术过程中,还应注意一些问题,特此提出,以供参考。1.经过全身麻醉和腰麻的患者,应该保留自流导尿管至意舷完全清醒,玻知鲐遗动完垒恢复之后,Lq为:这些麻醉本身司以引趣礤猕留,必坝及时排尿。2. 对身体衰弱-或精】Ii:f;紧m的患者应带虑在木后第一一天留置导尿管,因为前择手术后精辨疲醛动作闲雅,后者由于对痛觉鞍敏感不敢川力小便。3. 膀胱切口应注意在膀胱麒部,加切口太低,若掇伤膀胱内括豹肌,会哆I超括杓肌_火禁政瘟攀,影响自然排尿。同时,高位切开膀胱,切口亦易疮合。
Intermediate Medical Journal published in October 57, “Bladder calculus after surgery does not place a preliminary report,” a guide, the content and experience of our hospital are the same. Since 56 years of our hospital since the suprapubic bladder stone surgery, postoperative is the majority of indwelling catheter. This approach has certain advantages, as described in this article. However, during the operation, some problems should be noted, hereby proposed for reference. 1. After general anesthesia and spinal anesthesia patients should be retained from the catheter to the freeboard completely awake, after the completion of the glass to know the complete recovery of the move, Lq is: these anesthesia to attract interest, urination. 2. For the weakness of the body - or fine; Ii: f; tight m patients should be taken into account the first day after the catheter indwelling catheter, because the preoperative choice of precision fatigued elegance, which due to pain saddle Sensitive dare to force urine. 3. Bladder incision should pay attention to the Ministry of the bladder Qi, plus incision is too low, if the bladder injury, including leprosy muscle injury, will be duo I crackers _ fire ban political plague climb, affecting natural urination. At the same time, high incision bladder, incision also easy sores.