Postoperative urinary retention.
Postoperative urinary retention.
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DOI：
10.1016/j.anclin.2009.07.010
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发表时间：
2009-09-01
影响因子：
--
通讯作者：
Silverstein, Jeffrey H
中科院分区：
文献类型：
--
作者：
Darrah, Daniela M;Griebling, Tomas L;Silverstein, Jeffrey H
术后尿潴留（PUR）是手术和麻醉的常见并发症。在肛肠手术、疝修补和骨科手术后，潴留的风险尤其高，并且随着年龄的增长而增加。某些麻醉和镇痛方式，特别是脊髓麻醉与长效局麻药和硬膜外镇痛，促进尿潴留的发展。便携式超声提供了快速和准确的膀胱容量评估和辅助诊断和管理的PUR。当膀胱容量超过600毫升时，建议导尿，以防止膀胱长期过度膨胀的负面后遗症。
Postoperative urinary retention (PUR) is a common complication of surgery and anesthesia. The risk of retention is especially high after anorectal surgery, hernia repair, and orthopedic surgery and increases with advancing age. Certain anesthetic and analgesic modalities, particularly spinal anesthesia with long-acting local anesthetics and epidural analgesia, promote the development of urinary retention. Portable ultrasound provides rapid and accurate assessment of bladder volume and aids in the diagnosis and management of PUR. Catheterization is recommended when bladder volume exceeds 600 mL to prevent the negative sequelae of prolonged bladder overdistention.