Patients undergoing abdominal surgery causes urine retention after pulling catheter Analysis and Prevention.doc

 PAGE \* MERGEFORMAT 6 Patients undergoing abdominal surgery causes urine retention after pulling catheter Analysis and Prevention Keywords: abdominal surgery; urinary retention; cause analysis; Prevention Number of abdominal surgery patients need surgery indwelling catheter, but some patients after the pull catheter can not be the phenomenon of self-urination or urine retention occurs, giving the patient physical and mental trauma caused by a certain order to reduce the occurrence of these phenomena, I Division of the January 2004 ~ June 2006 A total of 98 patients without urinary tract infection and related diseases were observed in patients with indwelling catheter, we now report the following results and nursing experience. A clinical data A total of 98 cases in this group, 56 cases were male and 42 female, the youngest 13 years old, maximum 68 years of age; catheter longest 5d, the shortest 6h; esophagus, stomach surgery 34 cases, intestinal obstruction surgery in 23 cases, splenic rupture surgery 12 cases, 5 cases of rupture of liver surgery, gallbladder surgery 24 cases. Before intubation all patients were doing routine urine examination, no symptoms of urinary tract infection, no difficulties in urinating, urine thin line of history. Extubation occurred after 12 cases of the phenomenon of being unable to urinate or urinary retention, of which two cases so that other people left on their own urine, 5 cases out of bed by themselves, after voiding, 2 patients with local heat or press the bladder voiding flush, two cases of re-intubation After the ease urine retention, 1 patient after extubation intubation 2 times still can not urinate by acupuncture voiding functional recovery. 2 Analysis of urine retention after extubation 2.1 preoperatively to bed without voiding function training Are not used to urinating in bed after surgery or not suited to someone beside urination, leading to dysuria after extubation. 2.2 urethral mucosal damage Catheter int