论文部分内容阅读
作者对6例严重出血性膀胱炎患者用双侧经皮肾造瘘治疗。男女各3例,年龄26～64岁,平均49岁。在透视导向下进行标准的经皮肾造瘘术,根据操作时尿的排出量、粘稠度和出血的严重程度,选用10～24F肾造瘘管。造瘘后住院期间每天由术者和放射学家观察。每4周更换肾造瘘管,避免导管阻塞。结果见到,在肾造瘘前用传统方法治疗出血均未成功,膀胱灌注和肾造瘘时的间期为1～10天,前5例为2～10天。第6例经2次膀胱镜检查和电灼、排空凝血块以及硝酸银膀胱灌注,前5天的膀胱冲洗仍有严重血
The authors treated 6 patients with severe hemorrhagic cystitis with bilateral percutaneous nephrostomy. Male and female in 3 cases, aged 26 to 64 years, mean 49 years. Under the guidance of the perspective of the standard percutaneous nephrostomy, according to the operation of urinary output, consistency and the severity of bleeding, the selection of 10 ~ 24F nephrostomy tube. During the hospitalization after fistula, surgeons and radiologists observed each day. Nephrostomy tubes are changed every 4 weeks to prevent catheter blockage. The results showed that before the renal fistula with traditional methods of treatment of bleeding were unsuccessful, bladder perfusion and nephrostomy interval of 1 to 10 days, the first 5 cases of 2 to 10 days. Sixth cases after 2 cystoscopy and electrocautery, emptying clot and silver nitrate bladder perfusion, the first 5 days of bladder flushing is still severe blood