Werner G T, Gadomski M, Scheinert B
Abteilung für Physikalische Medizin und Medizinische Rehabilitation, Städtisches Krankenhaus München-Bogenhausen, München.
Rehabilitation (Stuttg). 1998 May;37(2):64-7.
In 361 patients with cerebral stroke a study of medical and neurological complications was undertaken. Among a total of 131 complications (36.2%) a striking incidence of urinary tract infections was seen: 83 cases (22.9%). Patients without complications had an average stay of 61.2 days in hospital, those with urinary tract infections had 77 days (p < 0.05). In patients with cerebrovascular accidents voiding dysfunctions are common. Great care must be taken to prevent complications: indwelling catheters should be used only over short periods of time. In case urinary drainage is needed over a long period of time, suprapubic catheterization should be preferred.
对361例脑卒中患者的医学和神经学并发症进行了研究。在总共131例并发症(36.2%)中,尿路感染的发生率惊人:83例(22.9%)。无并发症的患者平均住院61.2天,有尿路感染的患者住院77天(p<0.05)。脑血管意外患者排尿功能障碍很常见。必须格外小心预防并发症:留置导尿管应仅短期使用。如果需要长期引流尿液,应优先选择耻骨上膀胱造瘘术。