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目的为了提高小儿后尿道损伤的急症救治水平。方法对20例小儿后尿道损伤病例进行回顾性分析和总结,男13例,女7例。全部为车祸致后尿道损伤,其中85%伴骨盆骨折和90%伴有休克。本组13例在抗休克后急症行尿道断端吻合。结果 13例急症吻合者12例I期治愈。其他方法急症处置7例,I期治愈仅2例。全部病例获得随访,无明显后遗症。结论小儿后尿道损伤在纠正休克后应积极早期行尿道吻合术,因早期吻合可减少尿道狭窄的发生以及II期手术给患儿所带来的痛苦。对于经抗休克后生命体征不稳定者,急症尿道吻合的指征应从严掌握。
Objective To improve the emergency treatment of pediatric urethral injury. Methods 20 cases of pediatric posterior urethral injury were retrospectively analyzed and summarized, 13 males and 7 females. All caused after the car accident urethral injury, of which 85% with pelvic fractures and 90% with shock. The group of 13 cases of emergency urethral stump after anti-shock anastomosis. Results 13 cases of acute anastomosis in 12 cases of I cured. Other methods of emergency treatment in 7 cases, I only 2 cases of cure. All cases were followed up, no obvious sequelae. Conclusions The posterior urethral injury should be actively treated with urethral anastomosis after correcting shock. The early anastomosis can reduce the occurrence of urethral stricture and the pain caused by the operation of stage II to children. For anti-shock after the instability of vital signs, emergency urinary tract anastomosis indications should be strictly controlled.