留置气囊导尿管烧伤患儿尿管嵌顿的护理

Nursing of catheter incarceration in patients with indwelling balloon urethral catheter

目的 探讨烧伤患儿留置导尿管嵌顿后的正确处理方法.方法 将26例留置导尿管嵌顿的烧伤患儿根据病情及嵌顿的位置进行分析,其中2例留置导尿时嵌顿在尿道膜部,22例嵌顿在膀胱部,2例嵌顿在尿道内口.对不同嵌顿分别应用导丝刺入法、针刺法和外科手术法进行处理.结果 26例患儿经处理均可拔除气囊尿管,其中19例采用导丝刺入法,4例采用针刺法,3例采用经会阴尿道切开取异物术,术后患者恢复较好.1例手术患者术后再次留置气囊尿管,留置2周后正常拔除气囊尿管,顺利出院.结论 护理人员应熟练掌握男性患儿的生理解剖特点,气囊导尿管的结构、性能、特点、操作方法及注意事项,正确掌握气囊尿管的拔管方法,才能使拔管顺利.

Objective To explore the correct treatment methods after indwelling catheter incarceration in burn children.Methods Twenty-six burn children with indwelling catheter were analyzed according to their conditions and locations of incarceration,classified and treated effectively.The two cases catheterization incarcerated in the membranous urethra,twenty-two cases incarcerated in the bladder and two cases incarcerated in the internal orifice of urethra.The different catheter incarcerations were respectively handled with guide wire penetration method,acupuncture and surgical operation method.Results Twenty-six burn children could removed catheter after treatment,among them,nineteen cases with guide wire penetration method,four cases with acupuncture,three cases with surgical operation method which was removed of foreign body through perineal urethrotomy.Twenty-six burn children were better recovery after operation.Again indwelling catheter happened in one patient after operation,indwelling catheter was removed after two weeks,and the patient was discharged.Conclusions Nursing staff should skillfully master physiological and anatomical characteristics of male patients,the structure,know performance,operation and notes of balloon urethral catheter,and correctly grasp the decannulation method of the balloon catheter.