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11岁男孩好奇将项链塞入尿道 取出困难重重
2016-06-06 09:18:44 三秦都市报
本报讯(记者张毅伟)11岁小男孩洗澡时好奇心驱使将一挂金属项链自“小鸡鸡”的尿道口塞入,这下糟了,后果很严重,小鸡鸡肿胀,疼痛难忍。
小超(化名)今年11岁,家住铜川市印台区,在洗澡时因好奇将一金属项链自尿道口塞入,由于紧张不敢告诉家人,不料项链越塞越深,全部进入尿道无法取出。由于异物刺激患儿疼痛难忍,两天来仅小便一次,家人赶紧带小超去当地医院就诊,但由于患儿情况严重,建议去上级医院就诊,家人带着小超跑了几家大医院,未得到有效救治,几经辗转遂前来西安市儿童医院泌尿外科就诊。
项链塞进尿道取出困难重重
西安市儿童医院泌尿外科主治医师郭涛第一时间接诊了患儿,经详细询问病情、查体发现,孩子整个阴茎肿胀、膀胱充盈,会阴部可触及尿道内条索样异物,疼痛剧烈、不可自主排尿,情况十分严重。在泌尿外科主任张敬悌带领下,科室迅速为患儿制定治疗方案:给予患儿液体疗法,通过膀胱充盈后排尿时将异物下移,取出异物。同时准备好小儿尿道镜及膀胱镜,如该方法失败可经内镜取出异物。随着液体一滴滴进入患儿体内小超有了强烈尿意,在医护人员帮助下,让患儿尽量放松用力排尿。然而,很快尿液排空,但异物并没有随尿液排出尿道口,这让家人的心随之悬起。
尿道镜探查取物患儿转危为安
“不能等了……”张敬悌主任表示,金属链无法排出,结合X片检查,很有可能打折缠绕,需立即行膀胱镜小儿尿道镜探查,必要时进行开放手术。手术中,随着儿童专用尿道镜进入小超体内,屏幕上清晰显示出金属串珠样项链,但位置固定很难拖动,怎么办?医护人员凭借多年丰富经验继续耐心操作,项链逐渐显露出尿道口,随着体外小心牵拉,近35厘米长金属项链被成功取出,在场所有医护人员都松了一口气。此刻,小超的痛苦也明显减轻,自主排尿顺利。
责任编辑:孙启浩 cn037
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