Objective To present our experience of managing and nursed postoperative urinary retention (PUR) in large area liposuction. Methods This is a retrospective review of 100 inpatients with large area liposuction from January 2017 to October 2017. All patients received general anesthesia duration and postoperative analgesia. Postoperative urinary retention in 15 patients, the management included physical therapy, drug treatments with α1 receptor blockers, and urethral catheterization was performed when treatment is not effective. None of patients were used cystostomy. Results All patients recovered their own urination. The 15 patients with PUR were relieved after combination therapy and required straight catheterization 12-48h. The success of clinical experimental extubation (TWOC) in 13 patients, two patients were failure, need to be inserted again and combined α1 receptor blockers, urinary catheters were removed again after 6h. Conclusion This management is an effective, safe and well-tolerated treatment of PUR in large area liposuction and improve symptoms, reduce the risk of PUR and risk for PUR-related disease.%目的:探讨大面积吸脂术后尿潴留(Postoperative urinary retention,PUR)的有效护理与处置方法.方法:对本院2017年1月-2017年10月全麻下行大面积吸脂手术和术后给予静脉镇痛的100例就医者资料进行回顾性研究.其中15例发生术后尿潴留,行理疗和α1受体阻滞剂联合治疗,无效则行导尿术.无1例行膀胱造瘘.结果:所有患者都恢复了自主排尿,15例术后尿潴留得到解除,留置导尿12～48h,13例临床实验性拔管成功,2例失败再次插管,同时辅以α1受体阻滞剂,6h后拔出.结论:本次护理方法对大面积吸脂术后尿潴留就医者具有有效、安全、耐受性好等优点,能改善不适的下尿路症状,降低PUR和PUR相关疾病风险.
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