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患者男,75岁。以排尿困难三年为主诉入院,排尿呈点滴状,伴尿频、尿急、尿痛,且有排便不尽感,无其它症状。查体:一般情况好,双肾区无叩击痛.耻骨上区无压痛,前列腺Ⅱ度增大,光滑、质中、中央沟浅、无压痛。B超示,前列腺增生,残余尿300ml。入院诊断:“前列腺增生症慢性尿潴留”。入院后给予外科常规护理,并给予F18气囊尿管留置导尿,插管失败,换用F14带导丝气囊尿管重新插入,进管顺利,见尿后再进2cm,用20ml生理盐水注入气囊,当时病人即感疼痛不适,因考虑为插管所致尿道及膀胱粘膜损伤引起疼痛未做特殊处理,扶病人入病房。约15分钟后,病人疼
Male patient, 75 years old. In order to urinate difficult for three years mainly hospitalized, urination was bit trickle-like, with frequent urination, urgency, dysuria, and there is no sense of defecation, no other symptoms. Physical examination: the general situation is good, no perineal area percussion pain .Proximal pubic area without tenderness, prostate Ⅱ degree increases, smooth, quality, the central ditch shallow, no tenderness. B ultrasound, prostatic hyperplasia, residual urine 300ml. Admission diagnosis: “Prostatic hyperplasia chronic urinary retention ”. After admission to the surgical routine nursing, and give F18 balloon catheters indwelling catheterization, failed intubation, replaced with F14 with guidewire balloon catheter reinsertion, into the tube smooth, see urine and then into 2cm, with 20ml normal saline into the balloon At that time, the patient was feeling pain and discomfort, due to consider the intubation due to urethral and bladder mucosal injury caused by pain without special treatment to help patients into the ward. About 15 minutes later, the patient hurts