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1996～1997年我科对产后尿潴留患者,经拟胆碱药肌注无效者,采用下腹部热敷和会阴温热水冲洗。配合以按摩、挤压膀胱的方法以促使排尿。取得了良好效果。 1临床资料:本组50例中行产钳术者28例、会阴血肿7例、顺产5例,产程延长者10例。 2方法:患者取半卧位,热水袋(水温约70℃)或热毛巾敷于下腹部膀胱区,患者臀下放一便盆,用温开水冲洗会阴,冲洗速度要缓慢,时间不少于10分钟。在冲洗过程中让患者看着水流,术者可用手轻轻推揉膀胱10～20次。
From 1996 to 1997, our department of postpartum urinary retention patients, by the cholinergic intramuscular injection ineffective, the use of lower abdomen hot compress and perineal warm water rinse. With massage, squeeze the bladder method to promote urination. Achieved good results. 1 Clinical data: The group of 50 cases of midwifery forceps in 28 cases, 7 cases of perineal hematoma, 5 cases of spontaneous delivery, prolonged labor in 10 cases. 2 Methods: Patients take semi-recumbent position, hot water bottle (water temperature about 70 ℃) or hot towel deposited in the lower abdomen bladder area, the patient put a potty under the hip, rinse the perineum with warm water, rinse slowly, for not less than 10 minutes. In the flushing process allows patients to watch the water flow, the surgeon can gently push the bladder by hand 10 to 20 times.