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尿道会师术是治疗后尿道损伤常用方法之一。但以往多采用两根金属尿道探条,需多次对合反复引导才能成功,在小儿尤为困难。自1988年以来,我们采用导尿管会师法加用导尿管牵引治疗小儿后尿道损伤4例,收到满意效果。1.临床资料:本组4例,年龄为6岁1例,10～12岁3例。挤撞伤3例,臀部砸伤1例。就诊时间:最短1小时,最长27小时。伤后均有排尿困难及插导尿管失败史,X 线片示骨盆骨折3例,无明显骨折1例。伴休克2例,颅脑伤1例,其他部位骨折2例。2.操作方法:伴休克者先抗休克,然后取下腹
Urethra masters is one of the common methods of treating post-urethral injuries. But in the past to use more than two metal urethral probe, need to be repeatedly guided repeatedly in order to be successful, particularly difficult in children. Since 1988, we use the catheterization method plus catheter traction pediatric urethral injury in 4 cases, received satisfactory results. 1. Clinical data: The group of 4 patients, aged 6 years in 1 case, 10 to 12 years in 3 cases. Crush injury in 3 cases, buttocks injured in 1 case. Visiting time: the shortest 1 hour, the longest 27 hours. All patients had dysuria and catheter failure before they were injured. X-ray showed pelvic fracture in 3 cases and no obvious fracture in 1 case. Complicated shock in 2 cases, brain injury in 1 case, other parts of the fracture in 2 cases. 2. Method of operation: first with shock shock, and then remove the abdomen