Chautemps N, Milesi C, Forgues D, Adra A-L, Morin D, Cambonie G
Pédiatrie néonatale et réanimation, hôpital Arnaud de Villeneuve, CHU de Montpellier, 371 avenue du Doyen-G.-Giraud, Montpellier cedex 5, France.
Arch Pediatr. 2012 Apr;19(4):422-4. doi: 10.1016/j.arcped.2012.01.010. Epub 2012 Feb 23.
Percutaneous suprapubic catheterization is an alternative when placement of a urethral catheter is contraindicated or unsuccessful. We report the case of a 3-day-old newborn, who presented anuric acute renal failure secondary to placement of a suprapubic catheter. An excessive length of catheter had been inserted into the bladder and was obstructing the vesicoureteral junctions. Several measures can be taken to prevent this complication, such as systematic measurement of the length inserted into the bladder, use of a catheter with 1cm gradations or recourse to radiopaque material.
当尿道插管禁忌或不成功时，经皮耻骨上膀胱造瘘术是一种替代方法。我们报告了一例3日龄新生儿的病例，该患儿因耻骨上膀胱造瘘术出现无尿性急性肾衰竭。过长的导管插入膀胱并阻塞了膀胱输尿管连接处。可以采取多种措施预防这种并发症，如系统测量插入膀胱的长度、使用有1厘米刻度的导管或采用不透X线的材料。
