Department of Urology, Dongxihu District People's Hospital, Wuhan, Hubei, China.
Department of Pathology, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Urology. 2014 Feb;83(2):498-9. doi: 10.1016/j.urology.2013.09.022. Epub 2013 Dec 7.
To introduce a novel method to successfully evacuate severe clot retention in the bladder.
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.
Of the 22 patients, 19 were successfully treated using this method, with clot retention thoroughly resolved.
The chymotrypsin and sodium bicarbonate irrigation technique is safe, inexpensive, and a successful method to evacuate severe clot retention.
介绍一种成功清除膀胱内严重血凝块滞留的新方法。
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。
22 例患者中，19 例采用该方法成功治疗，血凝块完全清除。
糜蛋白酶和碳酸氢钠冲洗技术安全、廉价，是一种成功清除严重血凝块滞留的方法。
