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.
Urologie. 2023 Nov;62(11):1223-1233. doi: 10.1007/s00120-023-02216-z.
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来初步缓解膀胱压力的紧急治疗外，明确是急性还是慢性事件后进行确定性治疗的指征也很重要。虽然导尿管的选择标准较少，但后续的结构化方法很复杂。本文介绍了这两种决策树。
