儿童骨盆骨折合并尿道损伤：一例报告及其急诊处理评估

Pelvic Fracture Urethral Injuries in Children: A Case Report and Appraisal of Their Emergency Management.

作者信息

Meltzer James A, Reddy Srinivas H, Blumfield Einat, Alvayay Carolina, Blumberg Stephen M

机构信息

From the Departments of *Pediatrics (Emergency Medicine), †Surgery (Trauma), and ‡Radiology (Pediatrics), Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY; and §Department of Urology, Sutter Medical Group, Roseville, CA.

出版信息

Pediatr Emerg Care. 2016 Sep;32(9):627-9. doi: 10.1097/PEC.0000000000000534.

DOI:10.1097/PEC.0000000000000534

PMID:26414637

Abstract

Pelvic fracture urethral injuries are uncommon injuries that are frequently overlooked in the emergency department. We present a case of a 2-year-old girl whose urethral trauma was initially missed and potentially worsened by the placement of a urinary catheter. The clinical and diagnostic features of these rare injuries are discussed along with the controversies surrounding urinary catheter placement and retrograde urethrography.

摘要

骨盆骨折伴尿道损伤是一种少见的损伤，在急诊科常被忽视。我们报告一例2岁女童，其尿道创伤最初被漏诊，且因留置导尿管可能导致病情恶化。本文讨论了这些罕见损伤的临床和诊断特征，以及围绕导尿管置入和逆行尿道造影的争议。