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1病例报告患者男,62岁。因会阴部外伤6h入院。查体:耻骨上膀胱区膨隆,压痛(+);会阴部广泛淤血、肿胀;不能自行排尿,导尿未成功。X线摄片提示骨盆骨折;尿道造影检查发现造影剂全部进入会阴区,后尿道显示不佳。诊断:后尿道完全断裂。遂在腰麻下急诊行耻骨上经膀胱尿道镜尿道会师术。麻醉成功后取膀胱截石位,消毒铺单,用18号膀胱穿刺器在耻骨联合上方2cm处刺入膀胱,确认无误后抽出膀胱穿刺鞘,顺势向膀胱内
1 case report Male patient, 62 years old. Due to perineal trauma 6h admission. Physical examination: suprapubic bladder bulging, tenderness (+); perineal widespread congestion, swelling; can not urinate on their own, unsuccessful catheterization. X-ray showed pelvic fracture; urethral imaging examination found that all of the contrast agent into the perineal area, the posterior urethra showed poor. Diagnosis: Complete rear urethral fracture. Then emergency underwent emergency suprapubic urethral urethral urethral urethra will be master surgery. After the success of anesthesia to take the bladder lithotomy position, disinfection shop, with 18 bladder puncture device in the pubic symphysis above the 2cm Department piercing the bladder, after confirmation of correct bladder pricking sheath, the homeopathic bladder