评估膀胱血块使用非手术治疗。

Evaluation of bladder clots using a nonsurgical treatment.

机构信息

Department of Urology, Dongxihu District People's Hospital, Wuhan, Hubei, China.

Department of Pathology, Hubei University of Chinese Medicine, Wuhan, Hubei, China.

出版信息

Urology. 2014 Feb;83(2):498-9. doi: 10.1016/j.urology.2013.09.022. Epub 2013 Dec 7.

DOI:10.1016/j.urology.2013.09.022

PMID:24315307

Abstract

OBJECTIVE

To introduce a novel method to successfully evacuate severe clot retention in the bladder.

METHODS

A total of 22 male patients were treated using our method for severe clot retention. The bladder was irrigated with 40,000 U chymotrypsin in 50 mL of 5% sodium bicarbonate using a Foley catheter (20 F-24 F) for 30 minutes. The clots were then easily mobilized and evacuated using continuous saline irrigation and suction with a 60-mL syringe. The procedure was repeated 2-4 times until all the blood clots had been evacuated.

RESULTS

Of the 22 patients, 19 were successfully treated using this method, with clot retention thoroughly resolved.

CONCLUSION

The chymotrypsin and sodium bicarbonate irrigation technique is safe, inexpensive, and a successful method to evacuate severe clot retention.

摘要

目的

介绍一种成功清除膀胱内严重血凝块滞留的新方法。

方法

采用我们的方法治疗 22 例男性严重血凝块滞留患者。使用 Foley 导管（20 F-24 F）将 40,000 U 糜蛋白酶注入 50 mL 5%碳酸氢钠中，持续冲洗 30 分钟。然后使用 60 毫升注射器进行持续生理盐水冲洗和抽吸，轻松移动和清除血块。重复该过程 2-4 次，直到所有的血凝块都被清除。