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尿潴留的发生率以及患者的主诉、体格检查和膀胱超声之间的关系。

Incidence of urinary retention and relations between patient's complaint, physical examination, and bladder ultrasound.

机构信息

Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul, Brasil.

Universidade Federal do Rio Grande do Sul (UFRGS), Escola de Enfermagem, Departamento de Assistência e Orientação Profissional. Porto Alegre, Rio Grande do Sul, Brasil.

出版信息

Rev Gaucha Enferm. 2021 Mar 12;42:e20200014. doi: 10.1590/1983-1447.2021.20200014. eCollection 2021.

DOI:10.1590/1983-1447.2021.20200014
PMID:33886922
Abstract

OBJECTIVE

To describe the frequency of urinary complaints, bladder globe, and need for bladder relief catheterization according to ultrasound; to investigate the relationship between the urinary volume estimated by ultrasound and the one drained in catheterization; and to describe the relationship of patient's complaints and detection of bladder globe with the diagnosis of urinary retention.

METHOD

A cross-sectional study with clinical patients with suspected urinary retention in a tertiary hospital, conducted from February to September 2018. Urinary volume ≥500 mL in ultrasound was considered urinary retention.

RESULTS

Two hundred and five evaluations were performed in 44 patients. Urinary retention was detected by ultrasound in 33.2% of the evaluations. There was a strong correlation between ultrasound and bladder catheterization. There was a higher frequency of identification of bladder globe in urinary volumes ≥300 mL.

CONCLUSION

The incidence of urinary retention was higher when ultrasound was used for the diagnosis, when compared to patient's complaint and physical examination. Ultrasound showed to be accurate in establishing urinary volume.

摘要

目的

根据超声检查结果描述尿潴留患者的尿路症状、膀胱球和导尿管留置的频率;探讨超声估计尿量与导尿管排空尿量之间的关系;并描述患者的尿路症状和膀胱球检测与尿潴留诊断之间的关系。

方法

这是一项在 2018 年 2 月至 9 月期间在一家三级医院进行的疑似尿潴留的临床患者的横断面研究。超声检查中尿量≥500ml 被认为是尿潴留。

结果

对 44 例患者进行了 205 次评估。超声检查发现 33.2%的评估存在尿潴留。超声检查和膀胱导管检查之间具有很强的相关性。在尿量≥300ml 时,膀胱球的检出率更高。

结论

与患者的主诉和体格检查相比,使用超声诊断尿潴留的发生率更高。超声检查在确定尿量方面是准确的。

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