| 摘要: |
| 目的:评估深静脉导管在小儿困难导尿中的应用价值。方法:2007年8月至2008年6月，对7例常规留置导尿失败的男性患儿采用一次性深静脉导管行耻骨上膀胱穿刺造瘘予急诊导尿，随访2~11个月，观察疗效及并发症发生情况。结果:7例患儿均一次置管成功，手术时间2~5 min，平均（3.2±0.4）min，尿液引流效果好，无并发症发生。结论:采用深静脉导管行耻骨上膀胱穿刺造瘘是处理小儿困难导尿的安全而有效的方法，值得推广使用。 |
| 关键词: 深静脉导管 导尿 膀胱造口术 儿童 |
| DOI：10.3724/SP.J.1008.2009.0317 |
| 投稿时间：2008-08-26修订日期：2008-09-24 |
| 基金项目: |
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| Application of central venous catheter for refractory urinary retention in children:a report of 7 cases |
| ZHANG Zhen-sheng1,XU Chuan-liang1,GAO Xiao-feng1,WANG Xiao-lin2,CUI Yong3,SUN Ying-hao1* |
| (1.Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433,China*2.Department of Anesthesia, Changhai Hospital, Second Military Medical University, Shanghai 200433*3.Department of Cardiothoracic Surgery, Changhai Hospital,Second Military Medical University, Shanghai 200433) |
| Abstract: |
| Objective:To assess the value of central venous catheter in treatment of refractory urinary retention in children. Methods: Seven boys with acute urinary retention, who underwent failed routine drainage from Aug. 2007 to Jun. 2008, received paracentric suprapubic cystostomy via disposable central venous catheter. The patients were followed up for 2-11 months and the outcomes and complications were observed. Results: The catheterization processes were successful at the first try, with the mean operation time being (3.2±0.4) min,ranging 2-5 min. The drainage outcomes were satisfactory and there were no complications.Conclusion: Suprapubic puncture and drainage with central venous catheter is safe and effective for children with urinary retention and is worth popularizing. |
| Key words: central venous catheter drainage cystostomy child |
