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目的:探讨混合型膀胱破裂的非手术治疗方法。方法:回顾性分析1例混合型膀胱破裂患者的临床资料:在心电监护下,观察生命体征,给于右侧胸腔闭式引流,膀胱置F22三腔尿管引流,观察引流液量及颜色,并抗感染、抗休克、营养支持治疗。结果:治疗1个月复查CT膀胱逆行造影,膀胱结构完整,膀胱壁光整,膀胱周围未见造影剂渗出。行膀胱功能锻炼2周后拔出尿管,排尿通畅。结论:采用非手术方法治疗膀胱破裂要综合评估患者病情,慎重选择,同时要严密观察病情变化,若病情恶化应及时改行开放手术修补。
Objective: To explore the non-surgical treatment of mixed bladder rupture. Methods: The clinical data of one patient with mixed bladder rupture were retrospectively analyzed. The vital signs were observed under electrocardiographic monitoring. The right thoracic closed drainage and bladder placement of F22 triple-lumen catheter were observed. The drainage volume and color, And anti-infection, anti-shock, nutritional support and treatment. Results: One month follow-up CT CT retrograde angiography, complete bladder structure, the bladder wall smoothing, no oozing around the bladder. Bladder catheterization 2 weeks after pulling out the catheter, voiding unobstructed. Conclusion: Non-surgical treatment of bladder rupture to comprehensively assess the patient’s condition, careful choice, and close observation of changes in condition, if the deterioration should promptly switch to open surgery and repair.