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我们在农村巡回医疗及医院工作中用硬膜外导管行膀胱穿刺造瘘术,治疗10例尿潴留,感到效果良好。各种原因引起的急性尿潴留能于耻骨上触到胀大的膀胱者,行导尿失败时,均可采用此法导尿。方法:患者平卧。术者于耻骨联合上方一横指处,用2%普鲁卡因作局部麻醉。持硬膜外穿刺针由此部位刺入,拔出针芯,当见尿液流出。此时,即可插入硬膜外导管于膀胱内,抽到尿液后退出硬膜外穿刺针,将导管留于原位,盖无菌纱布,用胶布将其固定于皮肤上。然后将导管接于较导管管径稍粗的一连接管上,将尿液收集于另一消毒瓶内;或放置一消毒
We use epidural catheter puncture in the rural circuit and medical work in hospitals for bladder puncture and fistulation, the treatment of 10 cases of urinary retention, feel good. Acute urinary retention caused by various reasons can be touched on the pubic symphysis of the bladder, catheter failure, catheterization can be used this method. Methods: Patients supine. Surgery at the pubic symphysis above a cross-finger, with 2% procaine for local anesthesia. Epidural needle holding piercing this site, pull out the needle core, when see urine outflow. At this point, you can insert the epidural catheter in the bladder, after pumping out of the urine to exit the epidural needle, leaving the catheter in place, cover with sterile gauze, tape fixed to the skin. And then the catheter connected to the catheter diameter slightly thicker on a connecting tube, the urine collected in another sterile bottle; or place a disinfection