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患者男,28岁。因从3米高处坠落被钢筋刺伤直肠入院。入院时解血尿,血压105/75mmHg。立即行剖腹探查,术中探查见膀胱三角区处有一3cm横形裂口,裂口累及左侧输尿管口及壁内段,膀胱内充满粪便,直肠前壁腹膜外段破裂。术中未能探及左输尿管断端口,故打开左侧腹膜从左侧输尿管下段开窗插入一根细塑料管,塑料管一端插入输尿管上段,另一端经膀胱裂口进入膀胱从尿道引出,将断端潜行膀胱壁后固定于膀胱壁上。之后反复用双氧水冲洗后分层缝合膀胱后壁,将直肠前壁挫伤及污染重组织清创,安置一根烟卷引流条于创面。置蕈形管行膀胱造瘘,在左侧腹膜外及膀胱前间隙各安一根引流
Male patient, 28 years old. Because of falling from 3 meters was stabbed steel rectum admission. Hematuria on admission, blood pressure 105 / 75mmHg. Immediate exploration of laparotomy, intraoperative exploration see the trigone triangle area at a 3cm transverse rips, rips involving the left ureteral orifice and the wall segment, the bladder is full of faeces, the anterior segment of the anterior segment of the peritoneum rupture. Surgery failed to detect and left ureter broken port, so open the left peritoneum from the left lower ureter to open a window to insert a thin plastic tube, one end of the plastic tube inserted into the ureter, the other end of the bladder into the bladder from the urethra, will be off Sneak end bladder wall fixed to the bladder wall. After repeatedly rinsed with hydrogen peroxide stratified stitching the posterior wall of the bladder, rectal contusion and re-contusion tissue debridement, placement of a cigarette drainage rod in the wound. Set mushroom tube cystostomy, in the left extraperitoneal space and the anterior bladder clearance each drainage