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剖宫产术后医源性腹膜内膀胱损伤的非手术治疗

Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section.

作者信息

Albukhari Saeed N, Khawaji Abdullah, Azhar Raed A

机构信息

Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Urology, International Medical Centre, Jeddah, SAU.

出版信息

Cureus. 2021 Feb 5;13(2):e13150. doi: 10.7759/cureus.13150.

DOI:10.7759/cureus.13150
PMID:33692920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7937351/
Abstract

Iatrogenic bladder injuries with intraperitoneal extravasations are standardly managed surgically. However, we are presenting a case of iatrogenic intraperitoneal bladder injury developing after a cesarean section that was managed successfully by conservative therapy after tapping and pigtail drainage of 14 days. On the next follow up, which was 14 days later, there was a complete resolution with no signs of injury. Therefore, the trial of conservative approach may prove beneficial to minimize the chances of any invasive interventions in such cases.

摘要

医源性膀胱损伤伴腹腔内渗尿通常采用手术治疗。然而,我们报告了1例剖宫产术后发生的医源性腹腔内膀胱损伤病例,经14天穿刺和猪尾导管引流后采用保守治疗成功治愈。在接下来14天后的随访中,损伤完全愈合,无损伤迹象。因此,在这类病例中,尝试保守治疗方法可能有利于减少任何侵入性干预的机会。

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本文引用的文献

1
The management of an extraperitoneal bladder injury associated with a pelvic fracture.骨盆骨折伴腹膜外膀胱损伤的处理
Can Urol Assoc J. 2019 Jun;13(6 Suppl4):S56-S60. doi: 10.5489/cuaj.5930.
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Conservative management of delayed presentation of intraperitoneal bladder rupture following caesarean delivery: A case report.剖宫产术后腹膜内膀胱破裂延迟就诊的保守治疗:一例报告
Int J Surg Case Rep. 2019;59:31-34. doi: 10.1016/j.ijscr.2019.04.050. Epub 2019 May 10.
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Bladder Injury During Cesarean Delivery.剖宫产术中膀胱损伤
术中腹主动脉球囊阻断术在凶险型前置胎盘中剖宫产术中出血的应用
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