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我院近2年来行下尿路手术120余例.其中2例因医源性引流管管理失误导致再次手术,其教训深刻,现报道如下.1 病例介绍例1,男性,60岁.因前列腺增生症于1995年4月20日行前列腺摘除术.手术顺利,术中常规放置带囊导尿管及膀胱造瘘管.值班护士对术中留置导管的护理常规不熟悉,术后4h未进行膀胱冲洗,导致膀胱内血凝块堵塞造瘘管,经加压冲洗失败.再次手术行血块清除.术后16d出院,无并发症.
Less than 120 cases of urinary tract surgery in our hospital in the past 2 years, of which 2 cases due to iatrogenic drainage tube management errors led to reoperation, the lessons learned, are reported below .1 case introduction Example 1, male, 60 years old due to the prostate Prostate surgery was performed on April 20, 1995. The operation was successful and the catheterization of bladder catheter and cystostomy tube were routinely performed during operation.The on-duty nurses were unfamiliar with the routine nursing care of indwelling catheter, Flushing, resulting in clogged blood clots in the fistula catheter, the pressure failed to wash.After surgery again clot removal.Postoperative 16d, no complications.