Singh R A, Asprou F, Patel Amit, Trickett R W
Specialist Registrar Orthopaedics, Royal Shrewsbury Hospital, Shrewsbury, UK
Specialist Registrar General Surgery, Royal Gwent Hospital, Newport, UK.
J Surg Case Rep. 2013 Dec 4;2013(12):rjt093. doi: 10.1093/jscr/rjt093.
The Foley catheter is described in the emergency treatment of penetrating cardiac injuries, and its intra-operative use to control bleeding while definitive measures for intravascular embolization are being made. We present the first reported case of the use of a urinary catheter to control haemorrhage in an extremity stab injury to obtain haemodynamic stability while awaiting definitive surgical treatment. This quick, easy and useful technique can be used for junctional vascular injuries and wounds with a narrow neck, and can be easily removed once in the operating theatre. This life-saving, simple and cost-effective technique 'internalises' the externally applied pressure to control massive haemorrhage while awaiting definitive operative intervention. The catheter can be sutured in place if the patient is to be transferred to another department or hospital.
在穿透性心脏损伤的急诊治疗中描述了 Foley 导管，以及在进行血管内栓塞的确定性措施时其术中用于控制出血的情况。我们报告了首例使用导尿管控制肢体刺伤出血以在等待确定性手术治疗期间获得血流动力学稳定的病例。这种快速、简便且有用的技术可用于交界性血管损伤和颈部狭窄的伤口，并且一旦进入手术室即可轻松取出。这种挽救生命、简单且经济高效的技术在等待确定性手术干预时将外部施加的压力“内化”以控制大量出血。如果患者要转到另一个科室或医院，可将导管缝合固定在位。
