Wiedemann A, Heppner H J
Urologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Pferdebachstr. 27, 58455, Witten, Deutschland.
Klinik für Geriatrie und Geriatrische Tagesklinik, Klinikum Bayreuth - Medizincampus Oberfranken, Bayreuth, Deutschland.
Z Gerontol Geriatr. 2023 Mar;56(2):153-163. doi: 10.1007/s00391-022-02133-4. Epub 2023 Feb 15.
Urinary retention describes the inability to urinate. Based on the symptoms and the amount of the initial residual urine formation, a differentiation can be made between acute and chronic forms. The cause can be a subvesical obstruction or a bladder atony. In addition to emergency treatment in the form of initial relief of the strain on the bladder by insertion of a catheter, the indication for a definitive treatment with a clarification of the question whether an acute or chronic event is present is also important. Although the selection of the catheter is subject to few criteria, the further structured approach is complex. Both decision trees are presented in this article.
尿潴留是指无法排尿。根据症状和初始残余尿量，可区分急性和慢性形式。病因可能是膀胱下梗阻或膀胱无张力。除了通过插入导尿管以初步缓解膀胱压力的形式进行紧急治疗外，明确是急性还是慢性事件的确定性治疗指征也很重要。虽然导尿管的选择标准较少，但进一步的结构化方法很复杂。本文展示了这两种决策树。
