頁籤選單縮合
題名 | Continuous Suction for Treating Extrapertioneal Rupture of the Bladder Complicated with Persistent Urinary Extravasation=連續低壓抽吸用以治療腹膜外膀胱破裂合併持續性尿液外滲 |
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作者 | 傅延宗; 李祥生; 張聖原; 劉煥昀; 孫光煥; Fu, Yen-tsung; Lee, Shang-sen; Chang, Sun-yran; Liu, Huan-yun; Sun, Guang-huan; |
期刊 | 臺灣泌尿科醫學會雜誌 |
出版日期 | 20070300 |
卷期 | 18:1 2007.03[民96.03] |
頁次 | 頁36-38+44 |
語文 | eng |
關鍵詞 | |
中文摘要 | 主題:傳統上,腹膜外膀胱破裂只要用導尿管引流就可以得到效果。但是,對於接受慣例的療法後,仍然有尿液外滲的複雜性膀胱破裂的病人,一直都是泌尿科醫師的棘手問題。我們嘗試著去找到替代方法來解決這個難題。 病例和方法:在1990年到2004年之間,共有4位複雜性膀胱破裂的病人,在接受慣例的導尿管引流療法後,仍然有尿液外滲,我們將他們的導尿管接上低壓力(-15 cm H2O)的連續抽吸器14天。 結果:這4位複雜性膀胱破裂的病人,在接受低壓力的連續抽吸14天後,都成功解決了尿液外滲的問題。 結論:藉由我們有限的經驗,這個低壓力連續抽吸14天的方法,可以做為解決複雜性膀胱破裂病人,在接受傳統方法的治療後,仍然有尿液外滲難題的替代治療。 |
英文摘要 | OBJECTIVES: Traditionally, extraperitoneal rupture of the bladder is treated with catheter drainage only. However, it is always a challenge to treat patients with urinary extravasation after conventional management for a complicated bladder rupture. We attempted to find an alternative way to resolve this problem. MATERIALS AND METHODS: Between 1990 and 2004, 4 patients sustained urinary extravasation after a complicated bladder rupture and conventional management. The urinary catheter had been connected to a continuous lowpressure (-15 cm H2O) suction source for 14 days. RESULTS: All of these 4 cases were successfully managed by continuous low-pressure (-15 cmH2O) suction without major co-morbidities. CONCLUSIONS: Based on our limited experience, the continuous low-pressure (-15 cmH2O) suction method provides an alternative modality of urinary diversion for those with urinary extravasation complicated by extraperitoneal bladder rupture after the standard treatment with a large-bore catheter drainage or surgical repair. In addition, it may also shorten the hospitalization time and reduce medical costs. |
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