急性尿潴留的处理

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急性尿潴留是常见的急诊,如不及时处理,常会造成严重并发症,影响肾功能,危及生命。急性尿潴留是指尿留滞于膀胱内不能自行排出。其原因可归纳成三大类:(一)神经性尿潴留某些中枢神经系统疾病或神经损伤所致。(二)反射性尿潴留尿道、前列腺、肛门部疼痛,或由于直肠、盆腔手术后引起。(三)机械性尿潴留尿道结石、异物、尿道损伤、狭窄、前列腺肥大等引起。各种疾病都有相应之症状和体征,故经过采集病史及各项检查,一般均可作出诊断。急性尿潴留的及时治疗和正确护理,可减少并发症的出现,有利于彻底治疗。首先,应引流膀胱积尿,解除患者的痛苦,然后,再群细检查,明确病因,作彻底治疗。 Acute urinary retention is a common emergency, if not treated in time, often resulting in serious complications, affecting kidney function, life-threatening. Acute urinary retention refers to urinary retention in the bladder can not be discharged. The reason can be grouped into three categories: (a) neurological urinary retention caused by some central nervous system diseases or nerve damage. (B) reflex urinary retention urethra, prostate, anal pain, or due to the rectum, pelvic surgery caused. (C) mechanical urinary retention urethral stones, foreign body, urethral injury, stenosis, prostatic hypertrophy caused. A variety of diseases have the corresponding symptoms and signs, so after the collection of medical history and various tests, generally can make a diagnosis. Acute urinary retention timely treatment and proper care, can reduce the incidence of complications, is conducive to thorough treatment. First of all, urinary bladder drainage should be diverted to relieve the patient’s pain, and then check again, a clear cause, for thorough treatment.
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