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笔者于1981年参观了奥地利Ha(?)ihg康复中心。了解到该院对外伤性截瘫者的尿路处理情况,认为可供我国参考,现简要汇报如下。一、尿路动力学的检查 (一) 充盈期膀胱测压先安装导尿管及肛管,将其管道与测压机相连,快速注入CO_2(100～300毫升/分),记录其收缩波,再作腹部叩击加压,观察波型大小。如排尿时膀胱内压大于120厘米水柱,提示有下尿路梗阻。 (二) 膀胱压力/尿流率/膀胱尿道排尿磁带录相同步检查本法通过闭路电视荧光屏上显影,同讨观察膀胱在充盈期、排尿期的内压、直肠内压及膀胱尿道的排尿过程。
I visited Austria Ha (?) Ihg Rehabilitation Center in 1981. Understanding of the hospital for traumatic paraplegia who urinary tract treatment that is available for our reference, is now briefly reported as follows. First, the urodynamic examination (a) filling the bladder pressure to install urinary catheter and anal canal, the pipe connected to the press, the rapid injection of CO_2 (100 ~ 300 ml / min), record the contraction wave , Then tapping the abdominal pressure, observe the wave size. Such as urinary bladder pressure greater than 120 cm water column, suggesting lower urinary tract obstruction. (B) of the bladder pressure / urine flow rate / bladder urethra urinary tape video synchronization check this method through the CCTV screen on the development of the same period to observe the bladder during filling, voiding pressure, rectal pressure and urinary bladder bladder voiding process .